Provider Demographics
NPI:1912760794
Name:PARKER, STEPHANIE KRIEG (DPT)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:KRIEG
Last Name:PARKER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E CHURCH ST STE 5
Mailing Address - Street 2:
Mailing Address - City:BENSON
Mailing Address - State:NC
Mailing Address - Zip Code:27504-1555
Mailing Address - Country:US
Mailing Address - Phone:252-916-9959
Mailing Address - Fax:
Practice Address - Street 1:300 E CHURCH ST STE 5
Practice Address - Street 2:
Practice Address - City:BENSON
Practice Address - State:NC
Practice Address - Zip Code:27504-1555
Practice Address - Country:US
Practice Address - Phone:919-701-1251
Practice Address - Fax:919-701-1261
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP22882225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist