| Doctor Name: | MR. STEPHEN A VIGHETTI |
| NPI Number: | 1003955725 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, MTC, CSCS |
| License Number: | PT21615 |
| Business Practice Address: | 4020 Grande Vista Blvd #114 St Augustine, FL - 320841323 |
| Business Phone Number: | 9043153416 |
| Business Fax Number: | |
| Mailing Address: | 4020 Grande Vista Blvd, #114 ST AUGUSTINE |
| State: | FL |
| Postal Code: | 320841323 |
| Phone Number: | 9043153416 |
| Fax Number: | |
| NPI Enumeration Date: | 02/06/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT21615 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |