Provider Demographics
NPI:1194115584
Name:HALFHILL, STEPHANIE (MA, RANK 1)
Entity type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:
Last Name:HALFHILL
Suffix:
Gender:F
Credentials:MA, RANK 1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 LEATHER BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:KY
Mailing Address - Zip Code:41124-8401
Mailing Address - Country:US
Mailing Address - Phone:606-615-3063
Mailing Address - Fax:
Practice Address - Street 1:215 LEATHER BRANCH RD
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:KY
Practice Address - Zip Code:41124-8401
Practice Address - Country:US
Practice Address - Phone:606-615-3063
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-23
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner