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Contact Information

STACEY DREW REGAN, DPT
101 SUNSHINE BLVD
SOLDIERS GROVE, WI54655-7106
 Phone: 608-624-5244
 Fax: 608-624-3478
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for STACEY DREW REGAN · (Female)

NPI Number 1598145815
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 06/02/2015
Last updated 06/02/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 12979-24
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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