Provider Demographics
NPI:1255710919
Name:SCHUETZE, CHRISTOPHER J (DPT)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:J
Last Name:SCHUETZE
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:PO BOX 6629
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97708-6629
Mailing Address - Country:US
Mailing Address - Phone:715-423-4491
Mailing Address - Fax:715-423-4491
Practice Address - Street 1:1000 E RIVERVIEW EXPY STE 140
Practice Address - Street 2:
Practice Address - City:WISCONSIN RAPIDS
Practice Address - State:WI
Practice Address - Zip Code:54494-5471
Practice Address - Country:US
Practice Address - Phone:715-423-4491
Practice Address - Fax:715-423-4491
Is Sole Proprietor?:No
Enumeration Date:2015-05-27
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI13094-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist