Provider Demographics
NPI:1326204918
Name:ADAMSON, STEPHANIE WALTERS (DPT)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:WALTERS
Last Name:ADAMSON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6655 QUINCE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-8031
Mailing Address - Country:US
Mailing Address - Phone:901-755-9988
Mailing Address - Fax:901-755-2233
Practice Address - Street 1:6655 QUINCE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-8031
Practice Address - Country:US
Practice Address - Phone:901-755-9988
Practice Address - Fax:901-755-2233
Is Sole Proprietor?:No
Enumeration Date:2008-08-03
Last Update Date:2008-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8146225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist