Provider Demographics
NPI:1134786080
Name:LLOYD, STEFAN MARC (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:STEFAN
Middle Name:MARC
Last Name:LLOYD
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 E ELM ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:TX
Mailing Address - Zip Code:76645-2645
Mailing Address - Country:US
Mailing Address - Phone:254-582-2713
Mailing Address - Fax:254-582-2717
Practice Address - Street 1:1305 E ELM ST
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:TX
Practice Address - Zip Code:76645-2645
Practice Address - Country:US
Practice Address - Phone:254-582-2713
Practice Address - Fax:254-582-2717
Is Sole Proprietor?:No
Enumeration Date:2019-05-28
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3123683208100000X
225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3123683OtherTEXAS BOARD OF PHYSICAL THERAPY EXAMINERS