Provider Demographics
NPI:1124383351
Name:SCHOTTLER, ABBY WHEELER (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ABBY
Middle Name:WHEELER
Last Name:SCHOTTLER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:ABBY
Other - Middle Name:
Other - Last Name:WHEELER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:65 E WADSWORTH PARK DR STE 230
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-8096
Mailing Address - Country:US
Mailing Address - Phone:385-308-8034
Mailing Address - Fax:
Practice Address - Street 1:65 E WADSWORTH PARK DR STE 230
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-8096
Practice Address - Country:US
Practice Address - Phone:385-308-8034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-13
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT-5294-0225100000X
PAPT030255225100000X
AK180618225100000X
NV4739225100000X
NMPT6004225100000X
IDPT-7550225100000X
CAPT301498225100000X
WYPT-2115225100000X
SD2397225100000X
IL070026505225100000X
MTPTP-PT-LIC-4360225100000X
MN12565225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist