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NPI Code Detail

MEDICARE: MARC SCHULTZ PT

MEDICARE: MARC SCHULTZ PT
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 Therapist13260WI
2225100000XPhysical Therapist8042MN

General Provider Information

NPI Number : 1417437880
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARC SCHULTZ PT
Provider Business Mailing Address
First Line : 4401 VICTORIA ST N
Second Line :
City : SHOREVIEW
State : MN
Zip : 55126-2226
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2845 HAMLINE AVE N
Second Line :
City : ROSEVILLE
State : MN
Zip : 55113-7127
Country : US
Telephone Number : 715-294-0969
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2018
Last Update Date : 04/14/2025

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Directions to “ MARC SCHULTZ PT” Practice Location

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