Healthcare Provider Details

I. General information

NPI: 1629977988
Provider Name (Legal Business Name): STETLER PERFORMANCE PHYSICAL THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2026
Last Update Date: 11/03/2026
Certification Date: 11/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 PARKER AVE STE B
DURANGO CO
81303-7901
US

IV. Provider business mailing address

4993 COUNTY ROAD 240
DURANGO CO
81301-7059
US

V. Phone/Fax

Practice location:
  • Phone: 703-447-1499
  • Fax:
Mailing address:
  • Phone: 703-447-1499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EMMA KELLY STETLER
Title or Position: OWNER
Credential: DPT
Phone: 703-447-1499