MEDICARE: CATHERINE L. SCHULTE LMT

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
1	225700000X	Massage Therapist	2004011222	MO

General Provider Information

NPI Number	:	1548443468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE L. SCHULTE LMT

Provider Business Mailing Address
First Line	:	48 E 53RD ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64112-2856
Country	:	US
Telephone Number	:	816-363-5764
Fax Number	:

Provider Business Practice Location Address
First Line	:	4050 PENNSYLVANIA AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64111-3024
Country	:	US
Telephone Number	:	816-550-0268
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2007
Last Update Date	:	12/13/2007

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