IndividualActive
Alexander Shutter, DPT
NPI 1699653170 · Sports Physical Therapist · Suamico, WI
Provider details
- NPI number
- 1699653170
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sole proprietor
- Yes
- License
- 1745324 (WI)
Mailing address
1772 Riverside Dr
Suamico, WI 54173-8100
Registry dates
- Enumerated
- 2025-08-23
- Last updated
- 2025-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.