Provider Demographics
NPI:1578681748
Name:SCHUELLER, JULIE (DPT)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:
Last Name:SCHUELLER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:RETTSCHLAG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:516 E. GREEN BAY AVE
Mailing Address - Street 2:RIVERVIEW PHYSICAL THERAPY & SPORTS MEDICINE
Mailing Address - City:SAUKVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53080
Mailing Address - Country:US
Mailing Address - Phone:262-284-9510
Mailing Address - Fax:262-284-9511
Practice Address - Street 1:516 E. GREEN BAY AVE
Practice Address - Street 2:
Practice Address - City:SAUKVILLE
Practice Address - State:WI
Practice Address - Zip Code:53080
Practice Address - Country:US
Practice Address - Phone:262-284-9510
Practice Address - Fax:262-284-9511
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6535-024225100000X
225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI40377700Medicaid
000282180Medicare PIN