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

Individual provider Physical Therapist · NPI 1063731321

Stacie Lynn Runyan, DPT is a Physical Therapist in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2010.

Licensed in
KY
In the registry since
2010
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4600 Bowling Blvd
Louisville, KY 40207-5155
Phone: (502) 895-7887
Fax: (502) 895-7887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT005578 (KY)

Record details

NPI number1063731321
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 26, 2010
Last updated in NPPESMarch 5, 2012

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