Provider Demographics
NPI:1790270569
Name:SCHERZER, STACY (DPT)
Entity Type:Individual
Prefix:
First Name:STACY
Middle Name:
Last Name:SCHERZER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:STACY
Other - Middle Name:
Other - Last Name:WIENEKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:6028 W MEQUON RD STE 100
Mailing Address - Street 2:
Mailing Address - City:MEQUON
Mailing Address - State:WI
Mailing Address - Zip Code:53092-1938
Mailing Address - Country:US
Mailing Address - Phone:262-236-0176
Mailing Address - Fax:262-236-0178
Practice Address - Street 1:N112W16282 MEQUON RD
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:WI
Practice Address - Zip Code:53022-3320
Practice Address - Country:US
Practice Address - Phone:262-236-0176
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-25
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist