Provider Demographics
NPI:1194980052
Name:RUNIONS, STEPHANIE KAYE (MPT)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:KAYE
Last Name:RUNIONS
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:482 ROCKHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:HOHENWALD
Mailing Address - State:TN
Mailing Address - Zip Code:38462-4008
Mailing Address - Country:US
Mailing Address - Phone:931-306-7381
Mailing Address - Fax:
Practice Address - Street 1:111 KEYSTONE LN
Practice Address - Street 2:
Practice Address - City:HOHENWALD
Practice Address - State:TN
Practice Address - Zip Code:38462-2344
Practice Address - Country:US
Practice Address - Phone:931-796-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-21
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8120225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist