Provider Demographics
NPI:1285768127
Name:FOUST, STEPHANIE K (PT)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:K
Last Name:FOUST
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12035 GREEN ACRES LN
Mailing Address - Street 2:PO BOX 536
Mailing Address - City:DALHART
Mailing Address - State:TX
Mailing Address - Zip Code:79022-7240
Mailing Address - Country:US
Mailing Address - Phone:806-244-1722
Mailing Address - Fax:
Practice Address - Street 1:115 E TEXAS BLVD
Practice Address - Street 2:
Practice Address - City:DALHART
Practice Address - State:TX
Practice Address - Zip Code:79022-4319
Practice Address - Country:US
Practice Address - Phone:806-244-0015
Practice Address - Fax:806-244-0017
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1158948225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist