Provider Demographics
NPI:1598102576
Name:ALMONROEDER, THOMAS GUS (DPT)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:GUS
Last Name:ALMONROEDER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5430 W 9TH ST APT 103
Mailing Address - Street 2:
Mailing Address - City:GOODVIEW
Mailing Address - State:MN
Mailing Address - Zip Code:55987-1493
Mailing Address - Country:US
Mailing Address - Phone:608-738-6174
Mailing Address - Fax:
Practice Address - Street 1:5430 W 9TH ST APT 103
Practice Address - Street 2:
Practice Address - City:GOODVIEW
Practice Address - State:MN
Practice Address - Zip Code:55987-1493
Practice Address - Country:US
Practice Address - Phone:608-738-6174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-30
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI12354-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist