Doctor Name: | SHARON KAY RUSCH |
NPI Number: | 1083724652 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 933-024 |
Business Practice Address: | 2300 Western Ave Manitowoc, WI - 542203712 |
Business Phone Number: | 9203202250 |
Business Fax Number: | 9203202322 |
Mailing Address: | 2300 Western Ave, Po Box 2170 MANITOWOC |
State: | WI |
Postal Code: | 542203712 |
Phone Number: | 9203208667 |
Fax Number: | 9203208616 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 933-024 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |