Paul Michael Theuerkauf, PT | |
309 N Bartlett St, Shawano, WI 54166-2127 | |
(616) 862-9714 | |
Not Available |
Full Name | Paul Michael Theuerkauf |
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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 |
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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 | |
Rachel Ann Lohrengel, D-PT Physical Therapist Medicare: Medicare Enrolled 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 | |
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 | |
Heather Beverly Sheski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 116 N Main St, Shawano, WI 54166 Phone: 715-526-7370 Fax: 715-526-7294 |