Individual
DR. NICOLE LYNN STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, CLT-LANA
Contact information
Practice address
943 MAPLE DR, MORGANTOWN, WV 26505-2812
(304) 599-2515
(304) 285-3738
Mailing address
943 MAPLE DR., MORGANTOWN, WV 26505-2812
(304) 599-2515
(304) 285-3738
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004223
WV
225100000X
Physical Therapist
PT012155L
PA
Other
Enumeration date
08/12/2005
Last updated
10/27/2025
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