| Doctor Name: | KATHERINE R STANLEY |
| NPI Number: | 1164488755 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CFM |
| License Number: | 23483 |
| Business Practice Address: | 3890 Littlebrook Drive Clemmons, NC - 270129106 |
| Business Phone Number: | 3363313480 |
| Business Fax Number: | 3363313484 |
| Mailing Address: | Po Box 565, CLEMMONS |
| State: | NC |
| Postal Code: | 270120565 |
| Phone Number: | 3363313480 |
| Fax Number: | 3363313484 |
| NPI Enumeration Date: | 04/24/2006 |
| NPI Last Update Date: | 01/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225000000X |
| License Number: | 23483 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Orthotic Fitter |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual trained in the management of fitting prefabricated orthoses. |