Individual provider · Type 1 NPI
Alexander Shutter, DPT
Sports Physical Therapist · Suamico, WI
Practice location
1772 Riverside Dr
Suamico, WI 54173-8100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Physical Therapist Primary | 2251S0007X | 1745324 (WI) |
Sports Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medica…
Another provider at this address
About NPI 1699653170
Alexander Shutter, DPT's National Provider Identifier is 1699653170, issued on Aug 23, 2025. The primary taxonomy on file is Sports Physical Therapist (2251S0007X), and the practice location is in Suamico, WI. The record was last updated on Aug 23, 2025.