Stadlbauer, Kevin Aaron

Stadlbauer, Kevin Aaron is an individual health care provider with primary practice located at 590 441 Historic Hwy N Ste E , Demorest GA 30535-4561. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Stadlbauer, Kevin Aaron can be contacted via phone (706) 754-6611.

Contact Information

Primary practice address
590 441 Historic Hwy N Ste E Demorest GA 30535-4561
Phone: (706) 754-6611
Fax: (706) 754-5834
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT014547 Georgia

Profile Details

NPI number 1326669615
LBN Legal business name Stadlbauer, Kevin Aaron
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2020
Last updated May 15th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326669615 NPPES
Georgia Other PT014547 PROFESSIONAL LICENSING BOARD

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