Provider Demographics
NPI:1134675804
Name:THATCHER-STEPHENS, ANNE (ATC)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:THATCHER-STEPHENS
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:640 OAK ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-1257
Mailing Address - Country:US
Mailing Address - Phone:415-595-2561
Mailing Address - Fax:
Practice Address - Street 1:744 52ND ST
Practice Address - Street 2:UCSF BENIOFF CHILDREN'S HOPSPITAL
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609
Practice Address - Country:US
Practice Address - Phone:415-595-2561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-31
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer