Mariah Anne Stewart
Individual provider Active NPI Athletic Trainer · Prescott, WI
NPI 1790259554 · NPPES record last updated Jan 15, 2019
Key facts
- NPI
- 1790259554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- N6382 1297TH St
Prescott, WI 54021-7034 - Phone
- (715) 441-8598
- NPI assigned
- Jan 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer |
2255A2300X | Yes |
Addresses
Primary practice location
N6382 1297TH St
Prescott, WI 54021-7034
Mailing address
N6382 1297TH St
Prescott, WI 54021-7034
Phone (715) 441-8598
Other providers in Prescott, WI
- Sheila Scheele
- School District of Prescott
- Schueller Chiropractic Inc.
- Donald Burton Schueller
- Caitlin Sparer
- Dayna L Strand
- Michael Joseph Toninato
- Casey Marie Webber
- Morgan Lee Williamson
- Patricia A Zentner
All providers in Prescott, WI · Athletic Trainer in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.