Provider Demographics
NPI:1013960731
Name:SCHAFER PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:SCHAFER PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHAFER
Authorized Official - Suffix:
Authorized Official - Credentials:MPT, OCS
Authorized Official - Phone:270-597-9676
Mailing Address - Street 1:PO BOX 157
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42210-0157
Mailing Address - Country:US
Mailing Address - Phone:270-597-9676
Mailing Address - Fax:270-597-9686
Practice Address - Street 1:105 MOHAWK ST
Practice Address - Street 2:SUITE A
Practice Address - City:BROWNSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42210-8544
Practice Address - Country:US
Practice Address - Phone:270-597-9676
Practice Address - Fax:270-597-9686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty