Paul Michael Theuerkauf, P.T.

NPI #1265731590 in Shawano, Wisconsin

Provider Information

NPI Number: 1265731590
Entity Type: Individual
Name: Paul Michael Theuerkauf, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Mar 25, 2011
Last Updated: Mar 25, 2011

Practice Location

Address: 309 N BARTLETT ST
City: Shawano
State: Wisconsin
ZIP Code: 54166-2127
Phone: (616) 862-9714

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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