Provider Demographics
NPI:1164805123
Name:SCHARMANN, ALEXANDER (DPT, OCS)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:
Last Name:SCHARMANN
Suffix:
Gender:M
Credentials:DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 860
Mailing Address - Street 2:
Mailing Address - City:THAYNE
Mailing Address - State:WY
Mailing Address - Zip Code:83127-0860
Mailing Address - Country:US
Mailing Address - Phone:307-883-8877
Mailing Address - Fax:307-883-8876
Practice Address - Street 1:47 DOC PERKES RD
Practice Address - Street 2:
Practice Address - City:AFTON
Practice Address - State:WY
Practice Address - Zip Code:83110
Practice Address - Country:US
Practice Address - Phone:307-883-8877
Practice Address - Fax:307-883-8876
Is Sole Proprietor?:No
Enumeration Date:2015-07-08
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDPT-4243225100000X
NE3392225100000X
WYPT-1776225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist