Doctor Name: | MARIA ELIZABETH STATZ |
NPI Number: | 1053573584 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | |
Business Practice Address: | 140 24th St S Wisconsin Rapids, WI - 544941906 |
Business Phone Number: | 7154241881 |
Business Fax Number: | 7154231602 |
Mailing Address: | 140 24th St S, Po Box 8005 WISCONSIN RAPIDS |
State: | WI |
Postal Code: | 544941906 |
Phone Number: | 7154241881 |
Fax Number: | 7154231602 |
NPI Enumeration Date: | 06/26/2008 |
NPI Last Update Date: | 04/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |