Individual
MARY E SCHACHTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
915 ELM AVE E, MENOMONIE, WI 54751-1613
(715) 233-2067
(715) 233-2068
Mailing address
915 ELM AVE E, MENOMONIE, WI 54751-1613
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11763-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124068689
—
WI
Enumeration date
09/04/2012
Last updated
09/04/2012
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