MEDICARE: SHAWN STENE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	2016023763	MO

General Provider Information

NPI Number	:	1295288470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAWN STENE

Provider Business Mailing Address
First Line	:	218 DELAWARE ST
Second Line	:	APT. 308
City	:	KANSAS CITY
State	:	MO
Zip	:	64105-1259
Country	:	US
Telephone Number	:	913-961-7170
Fax Number	:

Provider Business Practice Location Address
First Line	:	3215 MAIN ST
Second Line	:	SUITE 202
City	:	KANSAS CITY
State	:	MO
Zip	:	64111-2645
Country	:	US
Telephone Number	:	816-472-1800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2016
Last Update Date	:	07/25/2016

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Directions to “ SHAWN STENE ” Practice Location

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