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Contact Information

STEPHANIE SUDDERTH, MPT
150 WILLOW CREEK DRIVE #107
WEATHERFORD, TX76085
 Phone: 817-550-5058
 Fax: 817-550-8177
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for STEPHANIE SUDDERTH · (Female)

NPI Number 1649595737
Status Active
Credentials MPT (Master of Physical Therapy)
Entity Individual
Enumeration date 03/31/2010
Last updated 09/07/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 1138725
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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