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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. NICOLE TONETTE STAUDER, P.T.

Active Sole Proprietor

MRS. NICOLE TONETTE STAUDER, P.T. is a Physical Therapy Assistant healthcare provider located in NOKOMIS, Illinois. NPI 1245424480 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · NOKOMIS, IL

Registration Details

NPI Number
1245424480
Provider Type
Individual
Gender
Female
NPI Issued
Aug 30, 2007 (18.953090269398 yrs)
Last Updated
Aug 30, 2007
Sole Proprietor
Yes

Practice Information

Address
505 STEVENS ST.
NOKOMIS REHABIITATION AND HEALTH CARE CENTER
NOKOMIS, IL, 62075
Browse IL providers · Browse ZIP 62075
Phone
2175637725
Primary Specialty
Physical Therapy Assistant
225100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.