Provider Demographics
NPI:1205953882
Name:STONE, DEBORAH (CMT)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:
Last Name:STONE
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:41097-1016
Mailing Address - Country:US
Mailing Address - Phone:859-824-7259
Mailing Address - Fax:859-824-1989
Practice Address - Street 1:706 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:KY
Practice Address - Zip Code:41097-1016
Practice Address - Country:US
Practice Address - Phone:859-824-7259
Practice Address - Fax:859-824-1989
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY0119225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist