MEDICARE: LISA ANN SCHEUFFELE PT

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
1	225100000X	Physical Therapist	PT00003851	WA

General Provider Information

NPI Number	:	1730367368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA ANN SCHEUFFELE PT

Provider Business Mailing Address
First Line	:	PO BOX 306
Second Line	:
City	:	FOX ISLAND
State	:	WA
Zip	:	98333-0306
Country	:	US
Telephone Number	:	253-549-7008
Fax Number	:

Provider Business Practice Location Address
First Line	:	525 6TH AVE.
Second Line	:
City	:	FOX ISLAND
State	:	WA
Zip	:	98333-0306
Country	:	US
Telephone Number	:	253-549-7008
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2008
Last Update Date	:	02/06/2008

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Directions to “ LISA ANN SCHEUFFELE PT” Practice Location

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