Doctor Name: | JESSICA MAE STOTZ |
NPI Number: | 1508264607 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 12933-24 |
Business Practice Address: | 5000 Memorial Dr Two Rivers, WI - 542413900 |
Business Phone Number: | 7152209696 |
Business Fax Number: | |
Mailing Address: | Po Box 246, 3362 140th St FREDERIC |
State: | WI |
Postal Code: | 548370246 |
Phone Number: | 7152209696 |
Fax Number: | |
NPI Enumeration Date: | 12/05/2014 |
NPI Last Update Date: | 12/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 12933-24 |
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 |