Provider Demographics
NPI:1114535820
Name:SCHNEIDER PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:SCHNEIDER PHYSICAL THERAPY LLC
Other - Org Name:KRISTY LOVE-SCHNEIDER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTY
Authorized Official - Middle Name:LOVE
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:769-242-2772
Mailing Address - Street 1:423B MEMORIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:PICAYUNE
Mailing Address - State:MS
Mailing Address - Zip Code:39466-5545
Mailing Address - Country:US
Mailing Address - Phone:769-242-2772
Mailing Address - Fax:769-242-0513
Practice Address - Street 1:423B MEMORIAL BLVD
Practice Address - Street 2:
Practice Address - City:PICAYUNE
Practice Address - State:MS
Practice Address - Zip Code:39466-5545
Practice Address - Country:US
Practice Address - Phone:769-242-2772
Practice Address - Fax:769-242-0513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-20
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy