| Doctor Name: | STEPHANIE A WEYRAUCH |
| NPI Number: | 1255712972 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | PT-10022 |
| Business Practice Address: | 1511 Highway 59 S Suite A Thief River Falls, MN - 567013413 |
| Business Phone Number: | 2186810449 |
| Business Fax Number: | 2186810490 |
| Mailing Address: | 1560 S Carol St, MERIDIAN |
| State: | ID |
| Postal Code: | 836461839 |
| Phone Number: | 2082879420 |
| Fax Number: | 2082879426 |
| NPI Enumeration Date: | 06/18/2015 |
| NPI Last Update Date: | 08/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT-10022 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |