Provider Demographics
NPI:1447954276
Name:AMSTUTZ, REBECCA (IBCLC, SCD)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:AMSTUTZ
Suffix:
Gender:F
Credentials:IBCLC, SCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3727 WINTERGREEN WAY
Mailing Address - Street 2:
Mailing Address - City:JANESVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53546-3415
Mailing Address - Country:US
Mailing Address - Phone:608-607-2450
Mailing Address - Fax:
Practice Address - Street 1:3727 WINTERGREEN WAY
Practice Address - Street 2:
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53546-3415
Practice Address - Country:US
Practice Address - Phone:608-607-2450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-27
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No171400000XOther Service ProvidersHealth & Wellness Coach
No374J00000XNursing Service Related ProvidersDoula