License holder summary

STACY KAE PHIPPEN is a Physical Therapy Licensure Board - Physical Therapist Assistant licensed to practice in Idaho. The address on file for STACY KAE PHIPPEN is FRANKLIN ID 83237. This licensed professional license is current. The license was granted 08/31/1999 and expired on 05/22/2017.

Idaho

Division of Occupational and Professional Licenses

STACY KAE PHIPPEN
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 216
Date granted
08/31/1999
Date expires
05/22/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
FRANKLIN ID 83237
idaholicensing.com
ID 43734538
LAST UPDATED 2024-05-17 10:44:37 UTC

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