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NPI Code Detail

MEDICARE: DR. LEANNE ELYSE SCHULTZ PT, DPT

MEDICARE: DR. LEANNE ELYSE SCHULTZ 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 Therapist292509CA
2225100000XPhysical Therapist0013545CO

General Provider Information

NPI Number : 1356727788
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEANNE ELYSE SCHULTZ PT, DPT
Provider Business Mailing Address
First Line : 11169 E I25 FRONTAGE RD STE C
Second Line :
City : FIRESTONE
State : CO
Zip : 80504-5211
Country : US
Telephone Number : 720-600-0370
Fax Number :
Provider Business Practice Location Address
First Line : 11169 E I25 FRONTAGE RD STE C
Second Line :
City : FIRESTONE
State : CO
Zip : 80504-5211
Country : US
Telephone Number : 720-600-0370
Fax Number : 720-600-0374
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2015
Last Update Date : 08/09/2021

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