Stephanie Caldwell
Individual provider Active NPI Physical Therapy Assistant · Cameron, MO
NPI 1982975363 · NPPES record last updated Jan 18, 2012
Key facts
- NPI
- 1982975363
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2008034613 (MO)
- Practice address
- 1007 Ensign
Apt. D
Cameron, MO 64429 - Phone
- (816) 617-8230
- NPI assigned
- Jan 18, 2012
- 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 |
|---|---|---|---|
| 2008034613 | MO | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2008034613 | MO | Yes |
Addresses
Primary practice location
1007 Ensign
Apt. D
Cameron, MO 64429
Mailing address
1007 Ensign Trce
Apt. D
Cameron, MO 64429-1131
Other providers in Cameron, MO
- Medea Marie Boguslaw
- Marilyn Katherin Bouldin
- Karri April Brady
- Bristol Care, Inc.
- Mary Brown
- Cameron Ambulance District
- Cameron Children'S Devleopment Center
- Cameron Chiro LLC
- Cameron Chiropractic, L.L.C.
- Cameron Dental Center
All providers in Cameron, MO · Physical Therapy Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2012. 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.