Individual
KELLY STIENECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10000 W 75TH ST, SUITE 250, MERRIAM, KS 66204-2209
(216) 513-6540
Mailing address
533 FOXFIELD LN, MATTHEWS, NC 28105-9135
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5153
NC
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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