Provider Demographics
NPI:1851537245
Name:STIEVE, AIMEE (MPT)
Entity Type:Individual
Prefix:MRS
First Name:AIMEE
Middle Name:
Last Name:STIEVE
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N695 COUNTY ROAD HH
Mailing Address - Street 2:
Mailing Address - City:LYNDON STATION
Mailing Address - State:WI
Mailing Address - Zip Code:53944-9383
Mailing Address - Country:US
Mailing Address - Phone:608-745-6290
Mailing Address - Fax:608-745-6250
Practice Address - Street 1:2817 NEW PINERY ROAD
Practice Address - Street 2:DIVINE SAVIOR HEALTHCARE,
Practice Address - City:PORTAGE
Practice Address - State:WI
Practice Address - Zip Code:53901-0387
Practice Address - Country:US
Practice Address - Phone:608-745-6290
Practice Address - Fax:608-745-6250
Is Sole Proprietor?:No
Enumeration Date:2009-01-06
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6344-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist