Individual
KATHRYN L STEDNITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
21 N FISHER PARK WAY, EAGLE, ID 83616-4796
(208) 514-0670
Mailing address
21 N FISHER PARK WAY, EAGLE, ID 83616-4796
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6869
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00776869
MEDICARE RR
IL
Enumeration date
07/17/2008
Last updated
09/22/2022
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