Individual
THOMAS GREGORY STADLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
106 CROSSING DRIVE, WILDER, KY 41076
(859) 572-2360
(859) 441-1371
Mailing address
106 CROSSING DRIVE, WILDER, KY 41076
(859) 572-2360
(859) 441-1371
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004388
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8700130100
—
KY
Enumeration date
10/24/2005
Last updated
02/14/2017
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