Provider Demographics
NPI:1508099987
Name:LEMPKE, STEPHANIE THORNTON (PT DPT MMM)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:THORNTON
Last Name:LEMPKE
Suffix:
Gender:F
Credentials:PT DPT MMM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2064 FAIRPORT NINE MILE POINT RD
Mailing Address - Street 2:
Mailing Address - City:PENFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14526-1750
Mailing Address - Country:US
Mailing Address - Phone:585-851-0700
Mailing Address - Fax:
Practice Address - Street 1:2064 FAIRPORT NINE MILE POINT RD
Practice Address - Street 2:
Practice Address - City:PENFIELD
Practice Address - State:NY
Practice Address - Zip Code:14526-1750
Practice Address - Country:US
Practice Address - Phone:585-851-0700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-01
Last Update Date:2014-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0317612251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports