Provider Demographics
NPI:1316222193
Name:WALDROP, PAULA SCHULZE (PT)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:SCHULZE
Last Name:WALDROP
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 3RD ST
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80550-5484
Mailing Address - Country:US
Mailing Address - Phone:970-686-7474
Mailing Address - Fax:970-686-7987
Practice Address - Street 1:710 3RD ST
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550-5484
Practice Address - Country:US
Practice Address - Phone:970-686-7474
Practice Address - Fax:970-686-7987
Is Sole Proprietor?:No
Enumeration Date:2011-10-12
Last Update Date:2019-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1103757225100000X
CO8107225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist