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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TABITHA LYNN STIDHAM

Active Sole Proprietor

TABITHA LYNN STIDHAM is a Occupational Therapist healthcare provider located in ERMINE, Kentucky. NPI 1841562584 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · ERMINE, KY

Registration Details

NPI Number
1841562584
Provider Type
Individual
Gender
Female
NPI Issued
Jan 26, 2012 (14.588109820728 yrs)
Last Updated
Jan 26, 2012
License
AO1915 (KY)
Sole Proprietor
Yes

Practice Information

Address
2531 CRAFT COLLY RD
ERMINE, KY, 418159025
Browse KY providers · Browse ZIP 41815
Phone
6066320108
Primary Specialty
Occupational Therapist
225200000X
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.