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KYLE S SCHUMACHER DPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1063844124

Individual Registrant:
 KYLE S SCHUMACHER DPT
Gender: M
Not Sole Proprietor

Location and contact information for practice:
5000 W CHAMPION DR  GRAND CHUTE, WI 54913-5000 US
Tel: 920-560-1123  Fax: --

Contact information for business:
2105 E ENTERPRISE AVE # 113  APPLETON, WI 54913-7862 US
Tel: 920-991-2561  Fax: 920-560-1197

Registration Information:
NPI: 1063844124
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
IL070-019941
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
WI12351-24

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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