Provider Demographics
NPI:1376023481
Name:STINEHELFER, MICHELLE L (MS, ATC, PTA)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:L
Last Name:STINEHELFER
Suffix:
Gender:F
Credentials:MS, ATC, PTA
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:L
Other - Last Name:BADERTSCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1200 LEXINGTON GREEN LN
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-1013
Mailing Address - Country:US
Mailing Address - Phone:407-322-3442
Mailing Address - Fax:
Practice Address - Street 1:1418 EAST BLOOMINGDALE AVENUE
Practice Address - Street 2:
Practice Address - City:VALRICO
Practice Address - State:FL
Practice Address - Zip Code:33596
Practice Address - Country:US
Practice Address - Phone:813-381-4944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-17
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT0020922081S0010X
FLAL51642081S0010X
OHPTA10288225200000X
FLPTA28365225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
No2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine