Provider Demographics
NPI:1649637570
Name:SCHOOS, KATHRYN E (DC)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:E
Last Name:SCHOOS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3160 OLD LANTERN CT
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53005-3013
Mailing Address - Country:US
Mailing Address - Phone:262-720-4253
Mailing Address - Fax:
Practice Address - Street 1:1320 2ND AVE
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:WI
Practice Address - Zip Code:54829-7211
Practice Address - Country:US
Practice Address - Phone:715-822-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-22
Last Update Date:2016-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5161-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor