Individual
CORY ALEXANDER STATTELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2160 NW VINE ST, GRANTS PASS, OR 97526-8439
(541) 479-4916
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(702) 423-4389
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
4384
NV
225100000X
Physical Therapist
4384
NV
225100000X
Physical Therapist
Primary
66044
OR
225100000X
Physical Therapist
LPT-034484
AZ
2251X0800X
Orthopedic Physical Therapist
PTL.0019677
CO
Other
Enumeration date
09/09/2020
Last updated
04/02/2026
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