Healthcare Provider Details

I. General information

NPI: 1487438552
Provider Name (Legal Business Name): EMILY FOSTER SCHLUETER DPT, PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2023
Last Update Date: 09/03/2023
Certification Date: 09/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3470 CENTENNIAL BLVD STE 115
COLORADO SPRINGS CO
80907-4091
US

IV. Provider business mailing address

4231 FORREST HILL PL APT 6
COLORADO SPRINGS CO
80907-3651
US

V. Phone/Fax

Practice location:
  • Phone: 719-632-6818
  • Fax:
Mailing address:
  • Phone: 970-744-1409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberPTL.0019339
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: