Provider Demographics
NPI:1194999482
Name:STANHOPE, STAN WALKER (PT)
Entity type:Individual
Prefix:DR
First Name:STAN
Middle Name:WALKER
Last Name:STANHOPE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 813
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59845-0813
Mailing Address - Country:US
Mailing Address - Phone:406-741-5982
Mailing Address - Fax:
Practice Address - Street 1:210 MAIN STREET
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:MT
Practice Address - Zip Code:59845-0813
Practice Address - Country:US
Practice Address - Phone:406-741-5982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-17
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT389225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist