Provider Demographics
NPI:1134279250
Name:SCHUMACHER, GAYLAIN LEE (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MR
First Name:GAYLAIN
Middle Name:LEE
Last Name:SCHUMACHER
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1062 S STATE ROAD 19
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PALATKA
Mailing Address - State:FL
Mailing Address - Zip Code:32177-9050
Mailing Address - Country:US
Mailing Address - Phone:386-329-5576
Mailing Address - Fax:386-329-8922
Practice Address - Street 1:1062 S STATE ROAD 19
Practice Address - Street 2:SUITE 1
Practice Address - City:PALATKA
Practice Address - State:FL
Practice Address - Zip Code:32177-9050
Practice Address - Country:US
Practice Address - Phone:386-329-5576
Practice Address - Fax:386-329-8922
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPT3591225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPT3591OtherSTATE LICENSE #