Male or Other

Mr. Jeffrey N. Stanley P.T.

Physical Therapist in Pikeville, KY(View on Map)

Full Name

Mr. Jeffrey Niel Stanley P.T.

NPI Number

1043284060

NPI Type

Individual Provider

Gender

Male

Enumeration Date

02/15/2006

Specialties

(Taxonomies)

Code

225100000X

Primary Taxonomy

Yes

Licenses

State

Kentucky

License Number

5007504

Contact
Information

Purpose

Mailing
Location

Address

419 TOWN MOUNTAIN RD STE 108
419 TOWN MOUNTAIN RD STE 108

City

Pikeville
Pikeville

State

KY
KY

Postal Code

41501-1632
41501-1632

Country

US
US

Telephone Number

(606) 432-8782
(606) 432-8782

Identifiers

Identifier

000000192030
1068965

Identifier State

KY
WV

Identifier Issuer

ANTHEM
BRICKSTREET

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/07/2007

Provider Address

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