Stephanie King, PT
Individual provider Active NPI Physical Therapist · Paris, MO
NPI 1083042006 · NPPES record last updated Oct 30, 2013
Key facts
- NPI
- 1083042006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2013028652 (MO)
- Practice address
- 200 South Street
Paris, MO 65275-0001 - Phone
- (660) 327-4125
- Fax
- (660) 327-1024
- NPI assigned
- Oct 30, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013028652 | MO | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2013028652 | MO | Yes |
Addresses
Primary practice location
200 South Street
Paris, MO 65275-0001
Mailing address
200 South St
Paris, MO 65275-1165
Phone (660) 327-1024
Other providers in Paris, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.