Provider Demographics
NPI:1972777324
Name:PEOPLEFIRSTREHAB
Entity Type:Organization
Organization Name:PEOPLEFIRSTREHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:THEISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-570-2288
Mailing Address - Street 1:307 S 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54401-4536
Mailing Address - Country:US
Mailing Address - Phone:715-570-2288
Mailing Address - Fax:
Practice Address - Street 1:307 S 8TH AVE
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401-4536
Practice Address - Country:US
Practice Address - Phone:715-570-2288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KINDRED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1127-019314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility