Individual
IRIS R STULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS PT
Contact information
Practice address
815 FAIRWAY DR, BRANDENBURG, KY 40108-1415
(270) 422-3366
Mailing address
3985 MIDWAY RD, BRANDENBURG, KY 40108-9631
(270) 422-8176
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 004100
KY
Other
Enumeration date
04/03/2006
Last updated
07/08/2007
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