Provider Demographics
NPI:1134516255
Name:SCHOLTZ, KATHRYN (PT)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:SCHOLTZ
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 1:61 E PADONIA RD
Mailing Address - Street 2:STE. E
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-2346
Mailing Address - Country:US
Mailing Address - Phone:410-415-1992
Mailing Address - Fax:410-774-0488
Practice Address - Street 1:61 E PADONIA RD
Practice Address - Street 2:STE. E
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-2346
Practice Address - Country:US
Practice Address - Phone:410-415-1992
Practice Address - Fax:410-774-0488
Is Sole Proprietor?:No
Enumeration Date:2015-04-16
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19665225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist