License holder summary

Staci Marie Blythe is a Physical Therapy Committee - Physical Therapist Assistant licensed to practice in Indiana. The address on file for Staci Marie Blythe is Vincennes IN 47714, Evansville. This licensed professional license is current. The license was granted 10/11/2011 and expired on 06/30/2014.

Indiana

Professional Licensing Agency

Staci Marie Blythe
Physical Therapy Committee - Physical Therapist Assistant
License number
06004344A
Date granted
10/11/2011
Date expires
06/30/2014
Class
Physical Therapy Committee - Physical Therapist Assistant
Status
Active
Address
Vincennes IN 47714
indianalicensing.org
ID 8367187
LAST UPDATED 2024-02-04 13:01:56 UTC

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