Provider Demographics
NPI:1871534156
Name:SCHUMACHER, SHARON ANN (PT)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:ANN
Last Name:SCHUMACHER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1179 27TH ST
Mailing Address - Street 2:
Mailing Address - City:CHETEK
Mailing Address - State:WI
Mailing Address - Zip Code:54728-8036
Mailing Address - Country:US
Mailing Address - Phone:715-859-6580
Mailing Address - Fax:715-859-6580
Practice Address - Street 1:1179 27TH ST
Practice Address - Street 2:
Practice Address - City:CHETEK
Practice Address - State:WI
Practice Address - Zip Code:54728-8036
Practice Address - Country:US
Practice Address - Phone:715-859-6580
Practice Address - Fax:715-859-6580
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2429-024225100000X
WI1717-046225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI40085000Medicaid
WI223890430011OtherBLUE CROSS BLUE SHIELD
WI223890430011OtherBLUE CROSS BLUE SHIELD