Basic Information
| Provider Information | |||||||||
| NPI: | 1265894588 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHULZE | ||||||||
| FirstName: | KRISTI | ||||||||
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| Mailing Information | |||||||||
| Address1: | 20521 NORTHWEST PKWY | ||||||||
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| City: | MARYSVILLE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 430409159 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 120 COLEMAN'S CROSSING BLVD. | ||||||||
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| City: | MARYSVILLE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 43040 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9375787841 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/25/2016 | ||||||||
| LastUpdateDate: | 03/25/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225200000X | 07296 | OH | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant |
No ID Information.