Healthcare Provider Details

I. General information

NPI: 1821112376
Provider Name (Legal Business Name): LINDA KAY SCHAETZKE DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 08/24/2024
Certification Date: 08/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

143 WEST MAIN ST
WEST BROOKFIELD MA
01585
US

IV. Provider business mailing address

PO BOX 168
WEST BROOKFIELD MA
01585
US

V. Phone/Fax

Practice location:
  • Phone: 508-867-6161
  • Fax: 508-867-1961
Mailing address:
  • Phone: 508-867-6161
  • Fax: 508-867-1961

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1084
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: