Provider Demographics
NPI:1245448406
Name:SCHAUER, KYRA VICTORIA (PT)
Entity type:Individual
Prefix:MRS
First Name:KYRA
Middle Name:VICTORIA
Last Name:SCHAUER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W1149 COUNTY ROAD J
Mailing Address - Street 2:
Mailing Address - City:MUKWONAGO
Mailing Address - State:WI
Mailing Address - Zip Code:53149-1967
Mailing Address - Country:US
Mailing Address - Phone:262-363-2214
Mailing Address - Fax:
Practice Address - Street 1:W1149 COUNTY ROAD J
Practice Address - Street 2:
Practice Address - City:MUKWONAGO
Practice Address - State:WI
Practice Address - Zip Code:53149-1967
Practice Address - Country:US
Practice Address - Phone:262-363-2214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-20
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI9486-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist