Individual
COURTNEY SUE SPAETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
215 E BROWN ST, AUGUSTA, WI 54722-9346
(715) 559-6348
Mailing address
31221 30TH AVE., BOYD, WI 54726-0001
(715) 667-3058
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1125-019
WI
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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