Provider Demographics
NPI:1225508898
Name:SCHULTE, KEAGHAN (LAT, ATC)
Entity Type:Individual
Prefix:MRS
First Name:KEAGHAN
Middle Name:
Last Name:SCHULTE
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4224 ALFALFA DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-2016
Mailing Address - Country:US
Mailing Address - Phone:913-530-1148
Mailing Address - Fax:
Practice Address - Street 1:4101 SIGMA RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75244-4439
Practice Address - Country:US
Practice Address - Phone:913-530-1148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-27
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer