Individual
COURTNEY WAGNER SOUHEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3021 VOYAGER DR, GREEN BAY, WI 54311-8303
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16642-24
WI
225100000X
Physical Therapist
39352
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100273462
—
WI
Enumeration date
08/30/2022
Last updated
11/12/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us