Mr. SHANE D BAUER P.T.
Individual Provider (NPI-1)
Active
Physical Therapist
Provider Information
- NPI Number
1144200676- Provider Type
- Individual Provider (NPI-1)
- Credentials
- P.T.
- Status
- Active
Contact & Location
- Address
- 101 CAMELOT DR STE 4, FOND DU LAC, WI, 549358048
- Phone
- (920) 929-9712
Specialties & Taxonomies
Physical Therapist
Primary License: WI #5173-024