Healthcare Provider Details

I. General information

NPI: 1295759991
Provider Name (Legal Business Name): CRAIG DARRYL SCHMITZ PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 E ROMIE LN
SALINAS CA
93901-4206
US

IV. Provider business mailing address

142 ARABIAN WAY
SCOTTS VALLEY CA
95066-4774
US

V. Phone/Fax

Practice location:
  • Phone: 831-758-5338
  • Fax: 831-758-5385
Mailing address:
  • Phone: 831-439-0710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number11697
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: