| NPI | 1225160153 |
|---|---|
| Former Name | STEPHANIE RAE GIESEKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 1286) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 6535) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2018-06-29 |