| Doctor Name: | KATHLEEN MARIE STUPANSKY |
| NPI Number: | 1023020278 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | 1926 |
| Business Practice Address: | 1551 Professional Ln #145 Longmont, CO - 805016972 |
| Business Phone Number: | 7204943290 |
| Business Fax Number: | 7204943294 |
| Mailing Address: | 6979 S Holly Cir, Ste 105 CENTENNIAL |
| State: | CO |
| Postal Code: | 801121577 |
| Phone Number: | 3036942295 |
| Fax Number: | 3036941843 |
| NPI Enumeration Date: | 08/13/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1926 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| 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 |