Individual provider · Type 1 NPI

Staci Michelle Gaddis

Rehabilitation Practitioner · San Diego, CA

NPI number 1770213712 Active

Practice location

409 Camino Del Rio S Ste Ite 201
San Diego, CA 92108-3504

Call (619) 436-4020 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1770213712

Staci Michelle Gaddis's National Provider Identifier is 1770213712, issued on Jun 13, 2022. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Diego, CA. The record was last updated on Apr 23, 2025.