Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. THADDEUS STEPHENSON JR., RKT
ActiveMR. THADDEUS STEPHENSON JR., RKT is a Occupational Therapist healthcare provider located in LONGVIEW, Texas. NPI 1811862600 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · LONGVIEW, TX
Registration Details
- NPI Number
- 1811862600
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 9, 2025 (0.66553235610537 yrs)
- Last Updated
- Oct 9, 2025
- License
-
1991
Practice Information
- Address
-
1005 N EASTMAN RDLONGVIEW, TX, 756014231Browse TX providers · Browse ZIP 75601
- Phone
- 9032483450
- Primary Specialty
-
Occupational Therapist
226300000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.