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NPI Code Detail

MEDICARE: ELIZABETH SCHMIDT DPT

MEDICARE:   ELIZABETH  SCHMIDT  DPT
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
1225100000XPhysical Therapist9404MN
2225100000XPhysical Therapist13660-24WI

General Provider Information

NPI Number : 1104255884
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH SCHMIDT DPT
Provider Business Mailing Address
First Line : 627 S RIVER RD
Second Line : APT 10
City : WEST BEND
State : WI
Zip : 53095-4357
Country : US
Telephone Number : 920-210-7578
Fax Number :
Provider Business Practice Location Address
First Line : 9350 W FOND DU LAC AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53225-1714
Country : US
Telephone Number : 414-797-0000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2013
Last Update Date : 04/18/2017

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Directions to “ ELIZABETH SCHMIDT DPT” Practice Location

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