Provider Demographics
NPI:1346404381
Name:SCHUMACHER, RYAN LEIGH (PT)
Entity Type:Individual
Prefix:MRS
First Name:RYAN
Middle Name:LEIGH
Last Name:SCHUMACHER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N87W17301 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MENOMONEE FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:53051-2760
Mailing Address - Country:US
Mailing Address - Phone:262-257-4740
Mailing Address - Fax:262-253-7194
Practice Address - Street 1:N87W17301 MAIN ST
Practice Address - Street 2:
Practice Address - City:MENOMONEE FALLS
Practice Address - State:WI
Practice Address - Zip Code:53051-2760
Practice Address - Country:US
Practice Address - Phone:262-257-4740
Practice Address - Fax:262-253-7194
Is Sole Proprietor?:No
Enumeration Date:2008-07-17
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI9806024225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI40370600Medicaid