| Doctor Name: | PAUL E NIEMUTH |
| NPI Number: | 1083681407 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT,DSC,OCS,SCS,ATC |
| License Number: | 1739 |
| Business Practice Address: | 112 Ash St Suite 5 Spooner, WI - 548011487 |
| Business Phone Number: | 7156352518 |
| Business Fax Number: | 8662458064 |
| Mailing Address: | Po Box 3497, STURTEVANT |
| State: | WI |
| Postal Code: | 531770300 |
| Phone Number: | 8882011040 |
| Fax Number: | 8662458064 |
| NPI Enumeration Date: | 03/03/2006 |
| NPI Last Update Date: | 09/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1739 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |