Provider Demographics
NPI:1578680641
Name:SCHERTZ, ROBERT PAUL (PT)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:PAUL
Last Name:SCHERTZ
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22866 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BLAKESBURG
Mailing Address - State:IA
Mailing Address - Zip Code:52536-8016
Mailing Address - Country:US
Mailing Address - Phone:641-938-2556
Mailing Address - Fax:
Practice Address - Street 1:600 S AVE
Practice Address - Street 2:
Practice Address - City:OTTUMWA
Practice Address - State:IA
Practice Address - Zip Code:52501
Practice Address - Country:US
Practice Address - Phone:641-683-4712
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA01497225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist