Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081S0010X | Sports Medicine | AL5164 | FL |
N | 213ES0000X | Sports Medicine | AL5164 | FL |
N | 2081S0010X | Sports Medicine | AT002092 | OH |
N | 213ES0000X | Sports Medicine | AT002092 | OH |
N | 225200000X | Physical Therapy Assistant | PTA10288 | OH |
Y | 225200000X | Physical Therapy Assistant | PTA28365 | FL |
NPI | 1376023481 |
---|---|
Provider Name | Michelle L Stinehelfer |
First Address | Sanford, FL 32771-1013 |
Second Address | Valrico, FL 33596 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2018 |
Last Update Date | 17/08/2018 |