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

Stacey Mosher

Individual provider Physical Therapy Assistant · NPI 1073212502

Stacey Mosher is a Physical Therapy Assistant in Mequon, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2023.

Licensed in
WI
In the registry since
2023

Practice location Address checks out

11363 N Port Washington Rd
Mequon, WI 53092
Phone: (262) 833-2060
Fax: (262) 833-2061
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 4039-19 (WI)

Record details

NPI number1073212502
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 23, 2023
Last updated in NPPESJanuary 16, 2025
Certification dateJanuary 14, 2025
Mailing address33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258

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