Individual
MRS. STEPHANIE LYNN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2603 W PLEASANT GROVE RD, STE 104, ROGERS, AR 72758-5804
(479) 636-1187
(479) 636-1197
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2014038484
MO
225100000X
Physical Therapist
Primary
PT 2892
AR
225100000X
Physical Therapist
PT9349
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
756620
OPTUM
—
01
—
MA4370093
MEDICARE PTAN
MO
01
—
USES NPI
BCBS-ANTHEM
—
Enumeration date
08/17/2007
Last updated
01/19/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us