STACEY ANN ERTEL PT NPI 1174757793

NPI Information

  • NPI: 1174757793
  • Provider Name: STACEY ANN ERTEL, PT
  • Classification: Mechanotherapist - 172M00000X
  • Entity Type: Individual
  • Address: 3054 GOODRICH RD
    CAMBRIDGE, ID
    ZIP 83610
  • Phone: (208) 257-3499

Map and Directions

Get Directions

NPI Details

Stacey Ann Ertel, PT is a mechanotherapist in Cambridge, ID. The provider is a practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy. Stacey Ann Ertel, PT NPI is 1174757793. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3054 GOODRICH RD
CAMBRIDGE, ID
ZIP 83610-134
Phone: (208) 257-3499
Fax: (208) 257-3539

The enumeration date for this NPI number is 5/11/2009 and was last updated on 5/11/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1172M00000XMechanotherapist3180OREGONNo
2172M00000XMechanotherapistPT-1187IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.