Provider Demographics
NPI:1356848873
Name:SCHAAL, RYAN ANDREW (PT)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:ANDREW
Last Name:SCHAAL
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3047 WILLIAM ST STE 100
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63703-6569
Mailing Address - Country:US
Mailing Address - Phone:573-339-5989
Mailing Address - Fax:573-339-7092
Practice Address - Street 1:3047 WILLIAM ST STE 100
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63703-6569
Practice Address - Country:US
Practice Address - Phone:573-339-5989
Practice Address - Fax:573-339-7092
Is Sole Proprietor?:No
Enumeration Date:2018-04-11
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20110315132251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic