Provider Demographics
NPI:1487933958
Name:SCHWEBKE, KYLE J (DPT)
Entity type:Individual
Prefix:DR
First Name:KYLE
Middle Name:J
Last Name:SCHWEBKE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:KYLE
Other - Middle Name:
Other - Last Name:SCHWEBKE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3 NEENAH CTR
Mailing Address - Street 2:
Mailing Address - City:NEENAH
Mailing Address - State:WI
Mailing Address - Zip Code:54956-3070
Mailing Address - Country:US
Mailing Address - Phone:920-380-4999
Mailing Address - Fax:920-380-4961
Practice Address - Street 1:3925 N GATEWAY DR
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54913-7863
Practice Address - Country:US
Practice Address - Phone:920-380-4999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-15
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI11981-24225100000X
MN8826225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist