Provider Demographics
NPI:1013343797
Name:SCHULTHESS, CHRISTINA A (DPT)
Entity Type:Individual
Prefix:MISS
First Name:CHRISTINA
Middle Name:A
Last Name:SCHULTHESS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W182S8450 RACINE AVE
Mailing Address - Street 2:B3
Mailing Address - City:MUSKEGO
Mailing Address - State:WI
Mailing Address - Zip Code:53150-9456
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:W182S8450 RACINE AVE
Practice Address - Street 2:B3
Practice Address - City:MUSKEGO
Practice Address - State:WI
Practice Address - Zip Code:53150-9456
Practice Address - Country:US
Practice Address - Phone:262-443-8021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-25
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI11951225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist