Provider Demographics
NPI:1811392467
Name:STOEHR, RALPH ROBERT III (PT)
Entity Type:Individual
Prefix:MR
First Name:RALPH
Middle Name:ROBERT
Last Name:STOEHR
Suffix:III
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:906 HEMLOCK ST
Mailing Address - Street 2:
Mailing Address - City:BOALSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16827-1117
Mailing Address - Country:US
Mailing Address - Phone:814-571-4313
Mailing Address - Fax:
Practice Address - Street 1:906 HEMLOCK ST
Practice Address - Street 2:
Practice Address - City:BOALSBURG
Practice Address - State:PA
Practice Address - Zip Code:16827-1117
Practice Address - Country:US
Practice Address - Phone:814-571-4313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-24
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP12775225100000X
PAPT030825225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist