Healthcare Provider Details

I. General information

NPI: 1770958324
Provider Name (Legal Business Name): KRISTEN SCHULZ DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2015
Last Update Date: 05/01/2023
Certification Date: 05/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1112 16TH ST NW STE 200
WASHINGTON DC
20036-4818
US

IV. Provider business mailing address

1112 16TH ST NW STE 200
WASHINGTON DC
20036-4818
US

V. Phone/Fax

Practice location:
  • Phone: 202-223-1737
  • Fax:
Mailing address:
  • Phone: 202-223-1737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2046
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: