Healthcare Provider Details

I. General information

NPI: 1841222429
Provider Name (Legal Business Name): JEAN MARIE FRANKLIN -SCHULTZ OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2031 AVONDALE ST
HUMBOLDT TN
38343-1810
US

IV. Provider business mailing address

73 STORNAWAY DR
JACKSON TN
38305-7547
US

V. Phone/Fax

Practice location:
  • Phone: 731-784-3655
  • Fax:
Mailing address:
  • Phone: 731-571-8311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number2726
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: