Doctor Name: | KELBY H STEPHENS |
NPI Number: | 1083633853 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | 3059 |
Business Practice Address: | 911 B North California Socorro, NM - 87801 |
Business Phone Number: | 5058381000 |
Business Fax Number: | 5058382000 |
Mailing Address: | 911 B North California, SOCORRO |
State: | NM |
Postal Code: | 87801 |
Phone Number: | 5758381000 |
Fax Number: | 5758382000 |
NPI Enumeration Date: | 07/19/2006 |
NPI Last Update Date: | 04/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3059 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
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 |