Individual
STEPHANIE LAYNE CAUDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
1600 LEESTOWN RD, SUITE 160, LEXINGTON, KY 40511-2136
(859) 296-6303
(859) 296-6304
Mailing address
1600 LEESTOWN RD, SUITE 160, LEXINGTON, KY 40511-2136
(859) 296-6303
(859) 296-6304
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003725
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000389770
ANTHEM BCBS
KY
01
—
0007162160
AETNA
KY
Enumeration date
06/10/2006
Last updated
03/05/2008
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