Provider Demographics
NPI:1679853352
Name:SCHULTZ, KENDALL (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:KENDALL
Middle Name:
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2304 DUBOIS DR
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:IN
Mailing Address - Zip Code:46580-3213
Mailing Address - Country:US
Mailing Address - Phone:574-267-3500
Mailing Address - Fax:574-267-3518
Practice Address - Street 1:2304 DUBOIS DR
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:IN
Practice Address - Zip Code:46580-3213
Practice Address - Country:US
Practice Address - Phone:574-267-3500
Practice Address - Fax:574-267-3518
Is Sole Proprietor?:No
Enumeration Date:2011-08-25
Last Update Date:2015-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05010380A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist