Provider Demographics
NPI:1225116221
Name:SCHATZ, CAREN LEIGH CUTLER (MPT)
Entity Type:Individual
Prefix:MS
First Name:CAREN
Middle Name:LEIGH CUTLER
Last Name:SCHATZ
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15592 WATERLOO CIR
Mailing Address - Street 2:
Mailing Address - City:TRUCKEE
Mailing Address - State:CA
Mailing Address - Zip Code:96161
Mailing Address - Country:US
Mailing Address - Phone:530-448-1138
Mailing Address - Fax:
Practice Address - Street 1:11890 DONNER PASS RD
Practice Address - Street 2:SUITE 1
Practice Address - City:TRUCKEE
Practice Address - State:CA
Practice Address - Zip Code:96161-0448
Practice Address - Country:US
Practice Address - Phone:530-550-0400
Practice Address - Fax:530-820-9667
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA22346225100000X
NV1610225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA36248Medicare ID - Type Unspecified
NV36248Medicare ID - Type Unspecified