Provider Demographics
NPI:1164733598
Name:PIAZZA, REBEKAH K (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:REBEKAH
Middle Name:K
Last Name:PIAZZA
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:REBEKAH
Other - Middle Name:SUSIE
Other - Last Name:KATSMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:REBEKAH PIAZZA
Mailing Address - Street 1:1050 E BROADWAY
Mailing Address - Street 2:
Mailing Address - City:MONONA
Mailing Address - State:WI
Mailing Address - Zip Code:53716-4023
Mailing Address - Country:US
Mailing Address - Phone:608-890-6110
Mailing Address - Fax:608-221-6250
Practice Address - Street 1:1050 E BROADWAY
Practice Address - Street 2:
Practice Address - City:MONONA
Practice Address - State:WI
Practice Address - Zip Code:53716-4023
Practice Address - Country:US
Practice Address - Phone:608-890-6110
Practice Address - Fax:608-221-6250
Is Sole Proprietor?:No
Enumeration Date:2010-06-30
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic