Doctor Name: | MRS. STEFANIE S MCCOY |
NPI Number: | 1508085978 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 5028 |
Business Practice Address: | 106 S Holmen Dr Suite 2 Holmen, WI - 546369467 |
Business Phone Number: | 6085269888 |
Business Fax Number: | 6085269965 |
Mailing Address: | 319 Peterson St, HOLMEN |
State: | WI |
Postal Code: | 546368805 |
Phone Number: | 6085262690 |
Fax Number: | 6085269955 |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5028 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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 |