Provider Demographics
NPI:1912152596
Name:SUNBELT STAFFING
Entity type:Organization
Organization Name:SUNBELT STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:KOEPSELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-224-4072
Mailing Address - Street 1:W1517 SAYLESVILLE RD
Mailing Address - Street 2:
Mailing Address - City:RUBICON
Mailing Address - State:WI
Mailing Address - Zip Code:53078-9710
Mailing Address - Country:US
Mailing Address - Phone:262-224-4072
Mailing Address - Fax:
Practice Address - Street 1:W1517 SAYLESVILLE ROAD
Practice Address - Street 2:
Practice Address - City:RUBICON
Practice Address - State:WI
Practice Address - Zip Code:53078
Practice Address - Country:US
Practice Address - Phone:262-224-4072
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WIK124-0618-5600-04251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health