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

Stacy Smith

Individual provider Rehabilitation Practitioner · NPI 1114057791

Stacy Smith is a Rehabilitation Practitioner in Covina, California. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

1411 N Grand Ave 100
Covina, CA 91724-1001
Phone: (626) 395-7100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1114057791
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 6, 2007
Last updated in NPPESJune 25, 2013

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