Provider Demographics
NPI:1689624371
Name:KINDT, STEFANIE KAY (ATC)
Entity Type:Individual
Prefix:MS
First Name:STEFANIE
Middle Name:KAY
Last Name:KINDT
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:273 JUNIPER AVE
Mailing Address - Street 2:
Mailing Address - City:CRETE
Mailing Address - State:NE
Mailing Address - Zip Code:68333-3026
Mailing Address - Country:US
Mailing Address - Phone:402-826-8500
Mailing Address - Fax:402-826-8647
Practice Address - Street 1:1014 BOSWELL AVE
Practice Address - Street 2:
Practice Address - City:CRETE
Practice Address - State:NE
Practice Address - Zip Code:68333-2421
Practice Address - Country:US
Practice Address - Phone:402-826-8500
Practice Address - Fax:402-826-8647
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE160174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist