Provider Demographics
NPI:1720026941
Name:STERKEL-MUNSON, MARIE THERESE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:THERESE
Last Name:STERKEL-MUNSON
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:978 MOUNTAIN CITY HWY
Mailing Address - Street 2:AIKENHEAD PHYSICAL THERAPY LLC
Mailing Address - City:ELKO
Mailing Address - State:NV
Mailing Address - Zip Code:89801-2881
Mailing Address - Country:US
Mailing Address - Phone:775-738-4666
Mailing Address - Fax:775-738-4776
Practice Address - Street 1:978 MOUNTAIN CITY HWY
Practice Address - Street 2:AIKENHEAD PHYSICAL THERAPY LLC
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-2881
Practice Address - Country:US
Practice Address - Phone:775-738-4666
Practice Address - Fax:775-738-4776
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVSP-279235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist