Individual
REBECCA M STAUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3541 PLOVER RD, WISCONSIN RAPIDS, WI 54494-2155
(715) 423-5423
(715) 423-1532
Mailing address
3541 PLOVER RD, WISCONSIN RAPIDS, WI 54494-2155
(715) 423-5423
(715) 423-1532
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1691-019
—
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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