Mr. Douglas Reed Stephenson
Physical Therapy Assistant
129 Hillcrest Dr
Byrdstown
, Tennessee 38549-2326
Mr. Douglas Reed Stephenson
Physical Therapy Assistant
129 Hillcrest Dr
Byrdstown
, Tennessee 38549-2326
(606) 278-2186
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Mr. Douglas Reed Stephenson
- 38 Worley Ranch Rd
- Monticello, KY
- Zip : 42633-3328
- Phone : (606) 278-2186
Second Address
- Mr. Douglas Reed Stephenson
- 129 Hillcrest Dr
- Byrdstown, TN
- Zip : 38549-2326
- Phone : (931) 864-3162
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225200000X | Physical Therapy Assistant | A00875 | KY |
| Y | 225200000X | Physical Therapy Assistant | PTA03317 | TN |
National Provider Identifier
| NPI | 1003478900 |
|---|---|
| Provider Name | Mr. Douglas Reed Stephenson |
| First Address | Monticello, KY 42633-3328 |
| Second Address | Byrdstown, TN 38549-2326 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/07/2019 |
| Last Update Date | 01/07/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.