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

Rebecca Stout, PTA

Individual provider Physical Therapy Assistant · NPI 1821412388

Rebecca Stout, PTA is a Physical Therapy Assistant in Grangeville, Idaho. Practices as a sole proprietor. Licensed in Idaho and Wyoming.

Licensed in
ID, WY
In the registry since
2014
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

295 Black Tail Ln
Grangeville, ID 83530-5099
Phone: (208) 451-4752
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence CCMT-23-71 (WY)
Physical Therapy Assistant Taxonomy 225200000X · Licence PTA2635 (ID)

Record details

NPI number1821412388
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedFebruary 4, 2014
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025

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