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CRYSTAL STEVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPT

Contact information

Practice address
9300 STONESTREET RD, SUITE 400, LOUISVILLE, KY 40272-2876
(502) 935-9776
(502) 935-9813
Mailing address
9300 STONESTREET RD, SUITE 400, LOUISVILLE, KY 40272-2876
(502) 935-9776
(502) 935-9813

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
004317
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000346353
ANTHEM BLUE SHIELD
KY
01
P00417175
RAILROAD MEDICARE
KY
Enumeration date
12/14/2006
Last updated
12/11/2007
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