Individual
MISS STEPHANIE ELAINE ELLIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1792 ALYSHEBA WAY, SUITE 140, LEXINGTON, KY 40509-2288
(859) 264-9249
(859) 264-0016
Mailing address
1225 ASPEN ST, LEXINGTON, KY 40509-2407
(502) 807-2621
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005685
KY
Other
Enumeration date
09/24/2010
Last updated
01/02/2014
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