Provider Demographics
NPI:1477032126
Name:SCHMUTZ, JACOB ALLEN (PT, DPT, MS)
Entity Type:Individual
Prefix:DR
First Name:JACOB
Middle Name:ALLEN
Last Name:SCHMUTZ
Suffix:
Gender:M
Credentials:PT, DPT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2650 ELKTON TRL
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-0580
Mailing Address - Country:US
Mailing Address - Phone:903-266-7200
Mailing Address - Fax:903-266-7297
Practice Address - Street 1:2650 ELKTON TRL
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-0580
Practice Address - Country:US
Practice Address - Phone:903-266-7200
Practice Address - Fax:903-266-7297
Is Sole Proprietor?:No
Enumeration Date:2018-08-13
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL32527225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist