Provider Demographics
NPI:1578680526
Name:STONER, SHEILA KAY (ATC, LPTA)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:KAY
Last Name:STONER
Suffix:
Gender:F
Credentials:ATC, LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3517 NE 60TH ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98661-1735
Mailing Address - Country:US
Mailing Address - Phone:360-696-4686
Mailing Address - Fax:
Practice Address - Street 1:2105 NE 129TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686-3273
Practice Address - Country:US
Practice Address - Phone:360-573-3880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR8327225200000X
2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
Not Answered2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer