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

Individual provider Physical Therapist · NPI 1083592653

Stephanie Mauzer is a Physical Therapist in Private Practice in Holland, Michigan. Qualified in 2025, 1 year ago. Practices with Ruther Health and Wellness PLC, a 3-clinician group and accepts Medicare assignment. Licensed in Michigan and Wisconsin.

Years since qualifying
1
Licensed in
MI, WI
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

454 Baypark Dr Ste 10
Holland, MI 49424
Phone: (616) 537-6613
Fax: (616) 953-8926
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501304135 (MI)
Physical Therapist Taxonomy 225100000X · Licence 17235-24 (WI)

Record details

NPI number1083592653
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 22, 2025
Last updated in NPPESFebruary 2, 2026
Certification dateFebruary 2, 2026
Mailing addressPo Box 515, Boulder Junction, WI 54512-0515

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Ruther Health And Wellness Plc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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