Individual provider · Type 1 NPI
Mary Ellen Stephenson, BSPT
Pediatric Physical Therapist · Mountain Grove, MO
Practice location
502 W 5th St, Mssd Skyview School #30
Mountain Grove, MO 65711-1435
Fax (417) 926-5044
Mailing address
3338 Know It All Ln
Rogersville, MO 65742-7599
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | 00476 (MO) |
| Geriatric Physical Therapist | 2251G0304X | 00476 (MO) |
| Pediatric Physical Therapist Primary | 2251P0200X | 00476 (MO) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
About NPI 1831222363
Mary Ellen Stephenson, BSPT's National Provider Identifier is 1831222363, issued on Mar 13, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Mountain Grove, MO. The record was last updated on May 11, 2017.