MEDICARE: STU BECHTLER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	1143	NH

General Provider Information

NPI Number	:	1083094981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STU BECHTLER

Provider Business Mailing Address
First Line	:	261 MUCHADO HILL RD
Second Line	:
City	:	ALTON
State	:	NH
Zip	:	03809-5137
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	261 MUCHADO HILL RD
Second Line	:
City	:	ALTON
State	:	NH
Zip	:	03809-5137
Country	:	US
Telephone Number	:	419-564-6306
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2015
Last Update Date	:	06/05/2015

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Directions to “ STU BECHTLER ” Practice Location

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