Provider Demographics
NPI:1912477076
Name:STEHMAN, MICHELLE (LAT, ATC)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:STEHMAN
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:179 STIRLING CT
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-1378
Mailing Address - Country:US
Mailing Address - Phone:610-390-4433
Mailing Address - Fax:
Practice Address - Street 1:179 STIRLING CT
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-1378
Practice Address - Country:US
Practice Address - Phone:610-390-4433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-03
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARTO000342204C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine