Provider Demographics
NPI:1619077526
Name:SCHULTE, MARGARET VICKI (PT)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:VICKI
Last Name:SCHULTE
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 1:2221 PEACHTREE RD NE
Mailing Address - Street 2:INTEGRATED THERAPY, SUITE D336
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309
Mailing Address - Country:US
Mailing Address - Phone:770-429-1411
Mailing Address - Fax:770-429-1951
Practice Address - Street 1:2221 PEACHTREE RD NE
Practice Address - Street 2:INTEGRATED THERAPY, SUITE D336
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309
Practice Address - Country:US
Practice Address - Phone:770-429-1411
Practice Address - Fax:770-429-1951
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT 008013225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
52171834001OtherBC
P0020514OtherRRMC
65BBCRRMedicare ID - Type Unspecified