Shane D Bauer in Appleton - Physical Therapist
Shane D Bauer - NPI 1144200676
Shane D Bauer is a Physical Therapist in Appleton, Wisconsin. Shane D Bauer practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Shane D Bauer is 1144200676. The last update date is 2021-09-09.
Shane D Bauer's current location address is 2105 E Enterprise Ave Ste 113, Appleton, Wisconsin. You can contact this provider via phone number 9209912561 and fax number 9205601147. The mailing address for Shane D Bauer is 2105 E Enterprise Ave Ste 113, Appleton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shane D Bauer |
|---|---|
| Address | 2105 E Enterprise Ave Ste 113, Appleton, Wisconsin |
| Phone Number | 9209912561 |
| Fax Number | 9205601147 |
| Sole Proprietor | N |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1144200676 |
|---|---|
| Provider Enumeration Date | 2006-01-19 |
| Last Updated Date | 2021-09-09 |
Provider Mailing Address Detail
| Address | 2105 E Enterprise Ave Ste 113 |
|---|---|
| City | Appleton |
| State | Wisconsin (WI) |
| Post Code | 549137862 |
| Phone Number | 9209912561 |
| Fax Number | 9205601147 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 5173-024 |
|
Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40340300 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Shane D Bauer by the Centers for Medicare & Medicaid Services?
The Shane D Bauer has been assigned the NPI (National Provider Identifier) 1144200676 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Shane D Bauer is physically located?
The Shane D Bauer is physically situated at the following address: 2105 E Enterprise Ave Ste 113, Appleton, WI, 549137862.
What is Shane D Bauer's area of expertise and its corresponding taxonomy classification?
The Shane D Bauer's field of specialization is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their areas of practice.
When did Shane D Bauer receive its 1144200676 assignment?
The Shane D Bauer was assigned its 1144200676 on 2006-01-19, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Shane D Bauer last refreshed?
The information related to the Shane D Bauer, including its address, specialty, and other relevant details, was last updated on 2021-09-09.