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NPI Code Detail

MEDICARE: STEPHANIE MICHELLE ATEN PT

MEDICARE:   STEPHANIE MICHELLE ATEN  PT
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 Therapist5501012243MI

General Provider Information

NPI Number : 1386601714
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE MICHELLE ATEN PT
Provider Business Mailing Address
First Line : 4000 EASTERN SKY DR STE 6
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-7351
Country : US
Telephone Number : 231-932-9014
Fax Number : 231-932-9034
Provider Business Practice Location Address
First Line : 4000 EASTERN SKY DR STE 6
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-7351
Country : US
Telephone Number : 231-932-9014
Fax Number : 231-932-9034
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2006
Last Update Date : 02/27/2024

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Directions to “ STEPHANIE MICHELLE ATEN PT” Practice Location

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