MR. Shane D Bauer, P.T.

NPI #1144200676 in Fond Du Lac, Wisconsin

Provider Information

NPI Number: 1144200676
Entity Type: Individual
Name: MR. Shane D Bauer, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Jan 19, 2006
Last Updated: Jul 11, 2025

Practice Location

Address: 101 CAMELOT DR STE 4
City: Fond Du Lac
State: Wisconsin
ZIP Code: 54935-8048
Phone: (920) 929-9712

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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