Individual provider · Type 1 NPI

Diane Mary Stadler, PTA

Physical Therapy Assistant · Green Bay, WI

NPI number 1376760512 Active

Practice location

2801 S Webster Ave
Green Bay, WI 54301-2878

Fax (920) 337-1126

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X105-019 (WI)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1376760512

Diane Mary Stadler, PTA's National Provider Identifier is 1376760512, issued on Apr 19, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Green Bay, WI. The record was last updated on Jul 8, 2007.