Provider Demographics
NPI:1457470866
Name:SCHULTZ, AMY FRANCES (OTR)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:FRANCES
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1029 WELLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-3030
Mailing Address - Country:US
Mailing Address - Phone:785-691-8440
Mailing Address - Fax:
Practice Address - Street 1:1821 SE 21ST ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66607-1437
Practice Address - Country:US
Practice Address - Phone:785-234-0018
Practice Address - Fax:785-233-9793
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17-00521225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1700521OtherKS OT LICENSE