Provider Demographics
NPI:1760075378
Name:STAHLECKER, JEAN MARIE (MS, ATC, CSCS)
Entity Type:Individual
Prefix:
First Name:JEAN
Middle Name:MARIE
Last Name:STAHLECKER
Suffix:
Gender:F
Credentials:MS, ATC, CSCS
Other - Prefix:
Other - First Name:JEAN
Other - Middle Name:MARIE
Other - Last Name:TROIANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, ATC, CSCS
Mailing Address - Street 1:US ARMY MEDICAL ACTIVITY-BAVARIA UNIT 28038
Mailing Address - Street 2:ATTN: MCEU-BAV-CRE
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09112
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:US ARMY MEDICAL ACTIVITY-BAVARIA UNIT 28038
Practice Address - Street 2:ATTN: MCEU-BAV-CRE
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09112-0911
Practice Address - Country:US
Practice Address - Phone:172-343-9205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-15
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer