Provider Demographics
NPI:1184943094
Name:NOYES, STEPHANIE K (DPT)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:K
Last Name:NOYES
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:111 OSSIPEE TRL E
Mailing Address - Street 2:SUITE 1151
Mailing Address - City:STANDISH
Mailing Address - State:ME
Mailing Address - Zip Code:04084-6464
Mailing Address - Country:US
Mailing Address - Phone:207-642-5325
Mailing Address - Fax:207-642-5395
Practice Address - Street 1:111 OSSIPEE TRL E
Practice Address - Street 2:SUITE 1151
Practice Address - City:STANDISH
Practice Address - State:ME
Practice Address - Zip Code:04084-6464
Practice Address - Country:US
Practice Address - Phone:207-642-3524
Practice Address - Fax:207-642-5395
Is Sole Proprietor?:No
Enumeration Date:2010-05-18
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MEPT3479225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist