Provider Demographics
NPI:1710089891
Name:SCHUMACHER, KAREN (RPT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:SCHUMACHER
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5622 SHERIDAN LAKE RD
Mailing Address - Street 2:STE 105
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57702-8881
Mailing Address - Country:US
Mailing Address - Phone:605-721-3307
Mailing Address - Fax:605-721-3308
Practice Address - Street 1:7220 S HIGHWAY 16
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57702-8708
Practice Address - Country:US
Practice Address - Phone:605-341-1414
Practice Address - Fax:605-341-7062
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD0401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD5835480Medicaid
SD1254560001OtherCIGNA MEDICARE
SDS101227Medicare PIN
SD1254560001OtherCIGNA MEDICARE