# CORY ALEXANDER STATTELMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1457966293
- **Gender:** Man
- **Credential:** DPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 4384 | NV | — |
| 225100000X | Physical Therapist | 4384 | NV | — |
| 225100000X | Physical Therapist | 66044 | OR | Yes |
| 225100000X | Physical Therapist | LPT-034484 | AZ | — |
| 2251X0800X | Orthopedic Physical Therapist | PTL.0019677 | CO | — |

## Other

- **Enumeration date:** 09/09/2020
- **Last updated:** 04/02/2026