Provider Demographics
NPI:1659175321
Name:SCHUSTER, RICK ADAM (PT, DPT)
Entity type:Individual
Prefix:
First Name:RICK
Middle Name:ADAM
Last Name:SCHUSTER
Suffix:
Gender:
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:338 S CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:KALKASKA
Mailing Address - State:MI
Mailing Address - Zip Code:49646-5117
Mailing Address - Country:US
Mailing Address - Phone:231-564-8126
Mailing Address - Fax:
Practice Address - Street 1:6670 WALKER RD NW
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:MI
Practice Address - Zip Code:49676-9100
Practice Address - Country:US
Practice Address - Phone:231-564-2461
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501302517225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist