| Doctor Name: | MRS. STEPHANIE MARIE FOUTTY |
| NPI Number: | 1164613782 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPT, ATC |
| License Number: | PT002637 |
| Business Practice Address: | 117 W. Wagner Street Ellenboro, WV - 263460328 |
| Business Phone Number: | 3048693888 |
| Business Fax Number: | 3048693444 |
| Mailing Address: | 415 36th St, Suite 100 PARKERSBURG |
| State: | WV |
| Postal Code: | 261011005 |
| Phone Number: | 3049173660 |
| Fax Number: | 3049173674 |
| NPI Enumeration Date: | 08/08/2007 |
| NPI Last Update Date: | 05/27/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT002637 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| 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 |