Healthcare Provider Details

I. General information

NPI: 1528998531
Provider Name (Legal Business Name): JADE ANN SCHUTTE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 RIVERGATE LN UNIT 97
DURANGO CO
81301-7490
US

IV. Provider business mailing address

651 TREW CREEK DR
DURANGO CO
81301-8329
US

V. Phone/Fax

Practice location:
  • Phone: 970-259-0574
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number0021284
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: