Provider Demographics
NPI:1609234277
Name:SCHUELER, JOSHUA (ATC)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:SCHUELER
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 RUCKER AVE
Mailing Address - Street 2:APT 315
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-4252
Mailing Address - Country:US
Mailing Address - Phone:515-770-1497
Mailing Address - Fax:
Practice Address - Street 1:2901 RUCKER AVE
Practice Address - Street 2:APT 315
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-4252
Practice Address - Country:US
Practice Address - Phone:515-770-1497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-10
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAA1 606272482255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer