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NPI Code Detail

MEDICARE: JENNIFER ANN SCHLICHT PT, DPT

MEDICARE: JENNIFER ANN SCHLICHT PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist2006029626MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MA4370049OTHERMOMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
237593044OTHERBCBS KC

General Provider Information

NPI Number : 1033254776
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ANN SCHLICHT PT, DPT
Provider Business Mailing Address
First Line : 6397 LEE HWY STE 300
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37421-2564
Country : US
Telephone Number : 423-238-7217
Fax Number : 423-238-3473
Provider Business Practice Location Address
First Line : 7932 N OAK TRFY STE 212
Second Line :
City : KANSAS CITY
State : MO
Zip : 64118-1424
Country : US
Telephone Number : 816-420-8251
Fax Number : 816-420-8207
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2007
Last Update Date : 05/08/2018

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