Provider Demographics
NPI:1437269198
Name:THURMOND, STEPHANIE MEGAN (PT)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:MEGAN
Last Name:THURMOND
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9150 HUEBNER RD
Mailing Address - Street 2:275
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1558
Mailing Address - Country:US
Mailing Address - Phone:210-561-7000
Mailing Address - Fax:210-561-7104
Practice Address - Street 1:9150 HUEBNER RD
Practice Address - Street 2:275
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1558
Practice Address - Country:US
Practice Address - Phone:210-561-7000
Practice Address - Fax:210-561-7104
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1149250225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1149250OtherLICENSE #