Healthcare Provider Details

I. General information

NPI: 1184332215
Provider Name (Legal Business Name): CAITLIN SCHULTZ DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2022
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6545 FLYING CLOUD DR STE 201
EDEN PRAIRIE MN
55344-3356
US

IV. Provider business mailing address

6545 FLYING CLOUD DR STE 201
EDEN PRAIRIE MN
55344-3356
US

V. Phone/Fax

Practice location:
  • Phone: 952-224-1919
  • Fax: 612-999-1943
Mailing address:
  • Phone: 952-224-1919
  • Fax: 612-999-1943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5081
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number12998
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: