Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Stacy Marie Vanegeren, PTA

Individual provider Physical Therapy Assistant · NPI 1497025043

Mrs. Stacy Marie Vanegeren, PTA is a Physical Therapy Assistant in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2012.

Licensed in
WI
In the registry since
2012
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

2961 Saint Anthony Dr
Green Bay, WI 54311-5860
Phone: (920) 468-0861
Fax: (920) 468-5869
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 1471-19 (WI)

Record details

NPI number1497025043
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJanuary 12, 2012
Last updated in NPPESJanuary 3, 2013

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