Rebecca Stout, P.T.A
NPI #1821412388 in Grangeville, Idaho
Provider Information
- NPI Number
- 1821412388
- Entity Type
- Individual
- Name
- Rebecca Stout, P.T.A
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- P.T.A
- Enumeration Date
- Feb 4, 2014
- Last Updated
- Mar 20, 2025
Practice Location
- Address
- 295 BLACK TAIL LN
- City
- Grangeville
- State
- Idaho
- ZIP Code
- 83530-5099
- Phone
- (208) 451-4752
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
| Massage Therapist |
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