Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 13554 | WI |
N | 2251E1200X | Ergonomics | 13554 | WI |
N | 225XE1200X | Ergonomics | 13554 | WI |
N | 2251P0200X | Physical Therapist - Pediatrics | 13554 | WI |
N | 2251S0007X | Physical Therapist - Sports | 13554 | WI |
N | 2251X0800X | Physical Therapist - Orthopedic | 13554 | WI |
NPI | 1215481262 |
---|---|
Provider Name | Jeffrey Schleusner |
First Address | Cross Plains, WI 53528-9477 |
Second Address | Cross Plains, WI 53528-9477 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2016 |
Last Update Date | 19/02/2018 |