Provider Demographics
NPI:1235850454
Name:SCHANTZ, DANIELLE ASHLEY (PT, DPT)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:ASHLEY
Last Name:SCHANTZ
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 WHITNEY RD W
Mailing Address - Street 2:
Mailing Address - City:FAIRPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14450-1075
Mailing Address - Country:US
Mailing Address - Phone:585-300-4333
Mailing Address - Fax:585-454-8237
Practice Address - Street 1:650 WHITNEY RD W
Practice Address - Street 2:
Practice Address - City:FAIRPORT
Practice Address - State:NY
Practice Address - Zip Code:14450-1075
Practice Address - Country:US
Practice Address - Phone:585-300-4333
Practice Address - Fax:585-454-8237
Is Sole Proprietor?:No
Enumeration Date:2022-09-06
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT39349225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist