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

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