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NPI Code Detail

MEDICARE: JUTTA A SCHNEIDER MSPT

MEDICARE: JUTTA A SCHNEIDER MSPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251X0800XOrthopedic Physical TherapistPT00006723WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1161180OTHERWALABOR & INDUSTRIES PROV #

General Provider Information

NPI Number : 1881669380
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUTTA A SCHNEIDER MSPT
Provider Business Mailing Address
First Line : 1917 FIR ST
Second Line :
City : PORT TOWNSEND
State : WA
Zip : 98368-3515
Country : US
Telephone Number : 206-860-3746
Fax Number :
Provider Business Practice Location Address
First Line : 1917 FIR ST
Second Line :
City : PORT TOWNSEND
State : WA
Zip : 98368-3515
Country : US
Telephone Number : 206-860-3746
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2006
Last Update Date : 01/27/2020

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Directions to “ JUTTA A SCHNEIDER MSPT” Practice Location

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