Individual
ELIZABETH KATHRYN STOUTENBOROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Contact information
Practice address
17134 BEL RAY PL, BELTON, MO 64012
(816) 318-0434
(816) 318-0437
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
11-05975
KS
225100000X
Physical Therapist
Primary
2018014343
MO
225100000X
Physical Therapist
PT32669
FL
Other
Enumeration date
05/29/2017
Last updated
06/26/2018
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