Provider Demographics
NPI:1851569792
Name:SCHULTZ, TIMOTHY THOMAS (DO)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:THOMAS
Last Name:SCHULTZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 W COTA ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-7078
Mailing Address - Country:US
Mailing Address - Phone:805-966-0055
Mailing Address - Fax:805-966-2012
Practice Address - Street 1:136 W COTA ST
Practice Address - Street 2:SUITE D
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-7078
Practice Address - Country:US
Practice Address - Phone:805-966-0055
Practice Address - Fax:805-966-2012
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-13
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A6166204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM