Provider Demographics
NPI:1750578522
Name:SCHAU, RICHARD WARD
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:WARD
Last Name:SCHAU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2733 CLOYSTER CT
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49008-2339
Mailing Address - Country:US
Mailing Address - Phone:269-352-0343
Mailing Address - Fax:
Practice Address - Street 1:2733 CLOYSTER CT
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49008-2339
Practice Address - Country:US
Practice Address - Phone:269-352-0343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-26
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant