Provider Demographics
NPI:1275632838
Name:CRAIG F SCHMALTZ SP
Entity Type:Organization
Organization Name:CRAIG F SCHMALTZ SP
Other - Org Name:KAW VALLEY PHYS THER & TNG CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:SCHMALTZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:785-437-2663
Mailing Address - Street 1:907 E JESUIT LANE
Mailing Address - Street 2:
Mailing Address - City:ST MARYS
Mailing Address - State:KS
Mailing Address - Zip Code:66536-9624
Mailing Address - Country:US
Mailing Address - Phone:785-437-2663
Mailing Address - Fax:785-437-2564
Practice Address - Street 1:907 E JESUIT LANE
Practice Address - Street 2:
Practice Address - City:ST MARYS
Practice Address - State:KS
Practice Address - Zip Code:66536-9624
Practice Address - Country:US
Practice Address - Phone:785-437-2663
Practice Address - Fax:785-437-2564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS115565Medicare ID - Type Unspecified
KSP55410Medicare UPIN