Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stacy M Walters

Individual provider Physical Therapy Assistant · NPI 1780250332

Stacy M Walters is a Physical Therapy Assistant in Tampa, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2021

Practice location Address checks out

15002 Hutchison Rd
Tampa, FL 33625-5509
Phone: (813) 969-1969
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 24314 (FL)

Record details

NPI number1780250332
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 2, 2021
Last updated in NPPESJune 25, 2021
Certification dateJune 25, 2021
Mailing address13150 Royal Pines Ave, Riverview, FL 33579-9321

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