Provider Demographics
NPI:1134777352
Name:RELEVE PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:RELEVE PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHUMACHER
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:608-393-0620
Mailing Address - Street 1:1909 CHAPMAN AVE
Mailing Address - Street 2:
Mailing Address - City:N FOND DU LAC
Mailing Address - State:WI
Mailing Address - Zip Code:54937-1023
Mailing Address - Country:US
Mailing Address - Phone:608-393-0620
Mailing Address - Fax:
Practice Address - Street 1:1909 CHAPMAN AVE
Practice Address - Street 2:
Practice Address - City:N FOND DU LAC
Practice Address - State:WI
Practice Address - Zip Code:54937-1023
Practice Address - Country:US
Practice Address - Phone:608-393-0620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-30
Last Update Date:2019-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty