Stacie Lee Haworth, M.P.T.
Physical Therapist, Pediatrics in Janesville, WI. Individual provider (NPI-1).
NPI number1528081007
StatusActive
Last updated in NPPESSep 24, 2008
Details
- NPI
- 1528081007
- Entity type
- Individual (NPI-1)
- Name
- Stacie Lee Haworth
- Credential
- M.P.T.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2006
- Last updated
- Sep 24, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251P0200X | Physical Therapist, Pediatrics | 9823-024 | WI | Yes |
Practice location
1323 Creston Park DrJanesville, WI 53545-1126
Phone 608-756-9440
Mailing address
4412 Touchstone DrOneida, WI 54155-8662
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Pediatric Physical Therapist providers in Janesville, WI
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.