Willey, Stephen Matthew

Willey, Stephen Matthew is an individual health care provider with primary practice located at 4601 Dale Rd , Modesto CA 95356-9718. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Willey, Stephen Matthew can be contacted via phone (209) 735-4080.

Contact Information

Primary practice address
4601 Dale Rd Modesto CA 95356-9718
Phone: (209) 735-4080
Fax: (209) 735-4060
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT25761 California

Profile Details

NPI number 1912998311
LBN Legal business name Willey, Stephen Matthew
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Dec 30th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912998311 NPPES
California Other OPT256710 BLUE SHIELD

Popular Providers