NPI 1003121294

Rebecca M Staut, PTA

Practitioner Physical Therapy Assistant Wisconsin Rapids, WI

Practice location

Address: 3541 Plover Rd, Wisconsin Rapids, WI 54494-2155
Phone: (715) 423-5423
Fax: (715) 423-1532

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 1691-019

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Registry record

NPI: 1003121294
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Aug 2010
Record last updated: 11 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.