| Stefan Thornberry, PT, DPT | |
|
2400 13th St, Ashland, KY 41102-4510 | |
| (606) 325-0910 | |
| (606) 325-8434 |
| Full Name | Stefan Thornberry |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2400 13th St, Ashland, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104592187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 008357 (Kentucky) | Primary |
| Provider Name | Southeastern Physical Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1699791129 PECOS PAC ID: 0840583407 Enrollment ID: O20160720001580 |
| Mailing Address | Practice Location Address |
|---|---|
| Stefan Thornberry, PT, DPT Po Box 1240, Ashland, KY 41105-1240 Ph: (606) 325-7955 | Stefan Thornberry, PT, DPT 2400 13th St, Ashland, KY 41102-4510 Ph: (606) 325-0910 |
Mckenzie S Huffman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2400 13th St, Ashland, KY 41102 Phone: 606-329-0910 Fax: 606-325-8434 | |
David Warren Apts, PT OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2400 13th Street, Ashland, KY 41102 Phone: 606-329-0910 Fax: 606-325-9848 | |
Michael Lynn Thompson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2400 13th Street, Ashland, KY 41102 Phone: 606-329-0910 Fax: 606-325-9848 | |
Kyle W Wessel, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2400 13th St, Ashland, KY 41102 Phone: 606-329-0910 Fax: 606-325-8434 | |
Todd E. Munson, PT, OCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 2400 13th Street, Ashland, KY 41102 Phone: 606-329-0910 Fax: 606-325-9848 | |
Matthew A Bryant, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2400 13th St, Ashland, KY 41102 Phone: 606-329-0910 Fax: 606-325-8434 | |
Katrina Jean Rollins, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3100 Charles St, Ashland, KY 41102 Phone: 606-571-7676 |