Individual
MR. JEFFREY L STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
201 PARK ST, BOWLING GREEN, KY 42101-1708
(270) 780-0552
(270) 780-0490
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1708
(270) 780-0552
(270) 780-0490
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
000572
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87000782
—
KY
Enumeration date
07/03/2006
Last updated
03/09/2020
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