Individual
MARK SCHULTHEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., S.C.S.C.
Contact information
Practice address
1090 S HIGHWAY 89, JACKSON, WY 83002
(307) 733-5577
(307) 733-5505
Mailing address
PO BOX 8467, JACKSON, WY 83002-8467
(307) 733-5577
(307) 733-5505
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0635
WY
225100000X
Physical Therapist
5223
WI
Other
Enumeration date
12/15/2005
Last updated
10/19/2024
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