Provider Demographics
NPI:1275977860
Name:STELTER, LINDA A (RPT)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:A
Last Name:STELTER
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 W 114TH TER
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-1819
Mailing Address - Country:US
Mailing Address - Phone:913-661-0249
Mailing Address - Fax:
Practice Address - Street 1:210 N PLAZA DR
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:KS
Practice Address - Zip Code:66043-1381
Practice Address - Country:US
Practice Address - Phone:913-727-1284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-25
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-02224225100000X
MOR9225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist