Provider Demographics
NPI:1043291990
Name:SCHWARTZ, KATHRYN LINDA (MSPT)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:LINDA
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:LINDA
Other - Last Name:SCHWARTZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSPT
Mailing Address - Street 1:187 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-3125
Mailing Address - Country:US
Mailing Address - Phone:603-772-0132
Mailing Address - Fax:603-772-3491
Practice Address - Street 1:187A HIGH ST
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-3125
Practice Address - Country:US
Practice Address - Phone:603-772-0708
Practice Address - Fax:603-772-3491
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1320225100000X
MEPT686225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHAA26635OtherHARVARD PILGRIM PROVIDER
NH0806061Y0NH01OtherANTHEM BCBS PROVIDER #
NH5303103OtherAETNA PROVIDER #
NH5909607OtherCIGNA PROVIDER #
NHAA26635OtherHARVARD PILGRIM PROVIDER