SearchIdaho225700000X

Rebecca Stout, P.T.A

NPI 1821412388 · on the registry since 2014 · sole proprietor

Practice

Address
295 Black Tail Ln
Grangeville, ID 83530
Phone
(208) 451-4752

Registry record

Primary taxonomy
225700000X
225700000X
Also registered as
225200000X
Licence states on file
ID, WY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-03-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho