Individual
CALLIE PAIGE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
225 N MOONLIGHT RD, GARDNER, KS 66030-1928
(913) 856-7927
(913) 856-8442
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-04253
KS
225100000X
Physical Therapist
20-11018907
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15790066
BCBS KC
—
01
—
778706
OPTUM
—
01
—
KA2868044
MEDICARE PTAN
KS
01
—
MA4370039
MEDICARE PTAN
MO
Enumeration date
07/05/2011
Last updated
05/08/2018
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