Rebecca M Staut
Physical Therapy Assistant
3541 Plover Rd
Wisconsin Rapids
, Wisconsin 54494-2155
Rebecca M Staut
Physical Therapy Assistant
3541 Plover Rd
Wisconsin Rapids
, Wisconsin 54494-2155
(715) 423-1532
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Rebecca M Staut
- 3541 Plover Rd
- Wisconsin Rapids, WI
- Zip : 54494-2155
- Fax : (715) 423-1532
- Phone : (715) 423-5423
Second Address
- Rebecca M Staut
- 3541 Plover Rd
- Wisconsin Rapids, WI
- Zip : 54494-2155
- Fax : (715) 423-1532
- Phone : (715) 423-5423
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 1691-019 |
National Provider Identifier
| NPI | 1003121294 |
|---|---|
| Provider Name | Rebecca M Staut |
| First Address | Wisconsin Rapids, WI 54494-2155 |
| Second Address | Wisconsin Rapids, WI 54494-2155 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/08/2010 |
| Last Update Date | 11/08/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.