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NPI Code Detail

MEDICARE: MS. KATELYN ANNE STAHL

MEDICARE: MS. KATELYN ANNE STAHL
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
1225100000XPhysical TherapistPT44425FL

General Provider Information

NPI Number : 1346193828
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATELYN ANNE STAHL
Provider Business Mailing Address
First Line : 11945 SAN JOSE BLVD STE 300
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32223-1627
Country : US
Telephone Number : 904-396-1725
Fax Number : 904-396-4893
Provider Business Practice Location Address
First Line : 4406 N DAVIS HWY
Second Line :
City : PENSACOLA
State : FL
Zip : 32503-2756
Country : US
Telephone Number : 850-435-4800
Fax Number : 850-807-5209
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2026
Last Update Date : 02/16/2026

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