Individual
STETSON HANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1001 BRITTANY PKWY, MANCHESTER, MO 63011-4325
(636) 330-7246
Mailing address
192 COUNTY ROAD 5043, SALEM, MO 65560-8167
(573) 247-8875
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2017036522
MO
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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