Provider Demographics
NPI:1013169747
Name:STEPHENS, KATHERINE E (PT)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:E
Last Name:STEPHENS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7980 CHAPEL HILL RD
Mailing Address - Street 2:SUITE 115
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-4648
Mailing Address - Country:US
Mailing Address - Phone:919-535-3930
Mailing Address - Fax:919-535-3932
Practice Address - Street 1:7980 CHAPEL HILL RD
Practice Address - Street 2:SUITE 115
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-4648
Practice Address - Country:US
Practice Address - Phone:919-535-3930
Practice Address - Fax:919-535-3932
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-13
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8455225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist