Provider Demographics
NPI:1013140615
Name:SCHUMACHER, CYLE JUSTIN (DPT)
Entity type:Individual
Prefix:DR
First Name:CYLE
Middle Name:JUSTIN
Last Name:SCHUMACHER
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 1:1340 FAIRFAX MANOR DR
Mailing Address - Street 2:APT 2C
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-4445
Mailing Address - Country:US
Mailing Address - Phone:317-374-0873
Mailing Address - Fax:
Practice Address - Street 1:1340 FAIRFAX MANOR DR
Practice Address - Street 2:APT 2C
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-4445
Practice Address - Country:US
Practice Address - Phone:317-374-0873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-29
Last Update Date:2009-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05010008A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist