Healthcare Provider Details

I. General information

NPI: 1417865502
Provider Name (Legal Business Name): KIAH LEE SCHULTHESS PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

352 E RIVERSIDE DR STE A6
ST GEORGE UT
84790-6999
US

IV. Provider business mailing address

352 E RIVERSIDE DR STE A6
ST GEORGE UT
84790-6999
US

V. Phone/Fax

Practice location:
  • Phone: 435-579-3494
  • Fax:
Mailing address:
  • Phone: 435-579-3494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number14290709-2401
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: