Individual
ELLEN SCHUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, ATC
Contact information
Practice address
5401 44TH AVENUE DR, SUITE 102, MOLINE, IL 61265-8126
(309) 779-3490
(309) 779-5615
Mailing address
5401 44TH AVENUE DR, SUITE 102, MOLINE, IL 61265-8126
(309) 779-3490
(309) 779-5615
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.004514
IL
2255A2300X
Athletic Trainer
096.000597
IL
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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