Provider Demographics
NPI:1437212131
Name:STENSLIE, KATHRYN B (PT)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:B
Last Name:STENSLIE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:A
Other - Last Name:BISHOP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1650 LYNDON FARM CT STE 300
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-5005
Mailing Address - Country:US
Mailing Address - Phone:502-537-7690
Mailing Address - Fax:812-590-8333
Practice Address - Street 1:1883 MCDONOUGH RD STE C
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:GA
Practice Address - Zip Code:30228-3516
Practice Address - Country:US
Practice Address - Phone:770-603-7050
Practice Address - Fax:770-603-7049
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT009293225100000X
NC9899225100000X
SC5027225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY5024702Medicare ID - Type Unspecified
KYP25738Medicare UPIN
NC079JEOtherBCBS
KYP25738Medicare UPIN