Basic Information
Provider Information
NPI: 1427535301
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STOHLMANN
FirstName: MARGARET
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: PT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: KOZLOWSKI
OtherFirstName: MARGARET
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 5220 SW 17TH ST STE 130
Address2:  
City: TOPEKA
State: KS
PostalCode: 666042514
CountryCode: US
TelephoneNumber: 7852715533
FaxNumber: 7852718818
Practice Location
Address1: 5220 SW 17TH ST STE 130
Address2:  
City: TOPEKA
State: KS
PostalCode: 666042514
CountryCode: US
TelephoneNumber: 7852715533
FaxNumber: 7852718818
Other Information
ProviderEnumerationDate: 07/24/2018
LastUpdateDate: 07/24/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000XT-04993KSY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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