| Paul Michael Theuerkauf, PT | |
|
309 N Bartlett St, Shawano, WI 54166-2127 | |
| (616) 862-9714 | |
| Not Available |
| Full Name | Paul Michael Theuerkauf |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 309 N Bartlett St, Shawano, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265731590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11668-24 (Wisconsin) | Primary |
| Provider Name | Probility Therapy Services |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1164458543 PECOS PAC ID: 6305897414 Enrollment ID: O20150806011786 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Michael Theuerkauf, PT 3090 Shadowbrook Dr, Lake, MI 48632-9154 Ph: (616) 862-9714 | Paul Michael Theuerkauf, PT 309 N Bartlett St, Shawano, WI 54166-2127 Ph: (616) 862-9714 |
Mark Scott Herbert, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N4231 State Highway 22, Shawano, WI 54166 Phone: 715-526-3158 Fax: 715-526-6225 | |
Mr. Ron K Lawrence, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 212 E Green Bay St Ste A, Shawano, WI 54166 Phone: 715-526-5221 | |
Rachel Ann Lohrengel, D-PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-526-7370 | |
Matthew James Osborne, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-526-7370 Fax: 999-999-9999 | |
Brittany L Perkins, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 116 N Main St, Shawano, WI 54166 Phone: 715-526-7370 Fax: 715-526-7294 | |
Erin M Leanna, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-526-7370 Fax: 715-526-7294 | |
Johanna Grover, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 116 N Main St, Shawano, WI 54166 Phone: 715-526-7370 Fax: 715-526-7294 |