NPI 1184359036

Logan Therese Grovesteen

Practitioner Physical Therapy Assistant Wisconsin Rapids, WI

Practice location

Address: 1175 Blue Iris CT, Wisconsin Rapids, WI 54494-4241
Phone: (715) 712-1299
Mailing address: 715 Donna Ave, Tomah, WI 54660-2228

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X

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Registry record

NPI: 1184359036
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jul 2022
Record last updated: 22 Jul 2022

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.