Most Relevant Information
Provider Data
| NPI Number: | 1003302688 |
| Provider Name: | MARK ANDREW STEVENS PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT013618 |
Most Important Dates
| Enumeration Date: | 07/06/2018 |
| Last Updated: | 11/22/2022 |
Provider Practice Location
1812 N LAKEWOOD DR STE 100
COEUR D ALENE
ID
838142635
Practice Location Phone/Fax
| Phone: | 2089664475 |
| Fax: | 2089664475 |
Provider Mailing Location
6397 LEE HWY STE 300
CHATTANOOGA
TN
374212564
Provider Mailing Phone/Fax
| Phone: | 4232387217 |
| Fax: | 4233628684 |