Individual
MS. ALLIE ELIZABETH STUMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
11840 COMMONWEALTH DR, LOUISVILLE, KY 40299-2309
(502) 633-1007
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
(502) 633-1007
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008249
KY
225100000X
Physical Therapist
12378
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008249
KENTUCKY BOARD OF PHYSICAL THERAPY
KY
Enumeration date
02/03/2020
Last updated
06/01/2021
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