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1285086074 NPI number — KAITLIN CAROL SCHULTZ DPT

NPI Number: 1285086074
Health Care Provider/Practitioner: KAITLIN CAROL SCHULTZ DPT

Information about “1285086074” NPI (KAITLIN CAROL SCHULTZ DPT) exists in 1285086074 in HTML format HTML  |  1285086074 in plain Text format TXT  |  1285086074 in PDF (Portable Document Format) PDF  |  1285086074 in an XML format XML  formats.

NPI Number : 1285086074 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285086074",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SCHULTZ",
    "FirstName": "KAITLIN",
    "MiddleName": "CAROL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BRENDEL",
    "OtherFirstName": "KAITLIN",
    "OtherMiddleName": "CAROL",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "4540 SNELLING AVE APT 310",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MINNEAPOLIS",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55406-4412",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "715-296-5844",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4155 COUNTY ROAD 101 N",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PLYMOUTH",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55446-2307",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "952-993-8900",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/06/2016",
    "LastUpdateDate": "07/28/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "10355",
        "LicenseNumberStateCode": "MN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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