Individual
KORTNEY STEPHANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
801 BRIM ST, DESLOGE, MO 63601-3441
(573) 431-0223
Mailing address
808 WESTWIND DR, PARK HILLS, MO 63601-1760
(314) 601-2904
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2016025192
MO
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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