Healthcare Provider Details
I. General information
NPI: 1487580429
Provider Name (Legal Business Name): SADI ROSE SCHULZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2930 E MOORE AVE
SEARCY AR
72143-4831
US
IV. Provider business mailing address
2930 E MOORE AVE
SEARCY AR
72143-4831
US
V. Phone/Fax
- Phone: 501-368-0868
- Fax: 501-368-0003
- Phone: 501-368-0868
- Fax: 501-368-0003
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 224L00000X |
| Taxonomy | Pedorthist |
| License Number | CPED4940 |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: