Individual
JEREMY L SCHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT, OCS, ECS
Contact information
Practice address
111 COLLEGE STREET, SMITHS GROVE, KY 42171
(270) 597-3757
(270) 597-1020
Mailing address
PO BOX 157, BROWNSVILLE, KY 42210-0157
(502) 287-8122
(270) 597-1020
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004222
KY
2251E1300X
Clinical Electrophysiology Physical Therapist
12233
KY
Other
Enumeration date
05/22/2006
Last updated
04/14/2010
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