Provider Demographics
NPI:1114550324
Name:ADVANCED THERAPY OPTIONS LLC
Entity Type:Organization
Organization Name:ADVANCED THERAPY OPTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DPT
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHUMACHER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:715-642-1927
Mailing Address - Street 1:1179 27TH ST
Mailing Address - Street 2:
Mailing Address - City:CHETEK
Mailing Address - State:WI
Mailing Address - Zip Code:54728-8036
Mailing Address - Country:US
Mailing Address - Phone:715-642-1927
Mailing Address - Fax:
Practice Address - Street 1:1179 27TH ST
Practice Address - Street 2:
Practice Address - City:CHETEK
Practice Address - State:WI
Practice Address - Zip Code:54728-8036
Practice Address - Country:US
Practice Address - Phone:715-642-1927
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-16
Last Update Date:2020-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy