Individual
KIRSTEN STAUFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
89 SOUTH ST, UNIT 102, BRIGHTON, MA 02135
(617) 226-2640
Mailing address
9 COLONY GARDENS RD, BEAUFORT, SC 29907-1231
(614) 735-2712
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305212732
VA
225100000X
Physical Therapist
Primary
24563
MA
225100000X
Physical Therapist
PT018059
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
09/13/2019
Last updated
11/27/2023
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