NPI 1649811035

Nicholas John Stevens, PTA

Practitioner Physical Therapy Assistant Grantsburg, WI

Practice location

Address: 257 W Saint George Ave, Grantsburg, WI 54840-7827
Phone: (715) 463-5353
Mailing address: 512 235th Ave, Cumberland, WI 54829-9307

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 3003-19 (WI)

Other Physical Therapy Assistant providers in Wisconsin →

Registry record

NPI: 1649811035
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Oct 2019
Record last updated: 7 Oct 2019

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.