Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Thaddeus Stephenson Jr., RKT

Individual provider Kinesiotherapist · NPI 1811862600

Mr. Thaddeus Stephenson Jr., RKT is a Kinesiotherapist in Longview, Texas. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1005 N Eastman Rd
Longview, TX 75601-4231
Phone: (903) 248-3450
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Kinesiotherapist (primary) Taxonomy 226300000X · Licence 1991

Record details

NPI number1811862600
Entity typeIndividual (Type 1)
GenderMale
Credentials RKT
Sole proprietorNo
NPI enumeratedOctober 9, 2025
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025