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NPI Code Detail

MEDICARE: JOHN SCHAUB

MEDICARE:   JOHN  SCHAUB
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
1225200000XPhysical Therapy Assistant0012829CO

General Provider Information

NPI Number : 1386008688
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN SCHAUB
Provider Business Mailing Address
First Line : 46 S HOLMAN WAY
Second Line :
City : GOLDEN
State : CO
Zip : 80401-5125
Country : US
Telephone Number : 303-669-9334
Fax Number :
Provider Business Practice Location Address
First Line : 4601 E ASBURY CIR
Second Line :
City : DENVER
State : CO
Zip : 80222-4722
Country : US
Telephone Number : 303-757-1228
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2016
Last Update Date : 04/12/2016

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Directions to “ JOHN SCHAUB ” Practice Location

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