Provider Demographics
NPI:1437910403
Name:SCHUHMACHER, SAVANNAH RAE (DPT)
Entity Type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:RAE
Last Name:SCHUHMACHER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2753 MAYPORT RD APT 2544
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32233-4725
Mailing Address - Country:US
Mailing Address - Phone:305-586-2449
Mailing Address - Fax:
Practice Address - Street 1:869 STOCKTON ST STE 300
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32204-3588
Practice Address - Country:US
Practice Address - Phone:904-388-1300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-17
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT41031225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist