Provider Demographics
NPI:1184741373
Name:KAREN G. SCHUCK,L.P.T.,P.C.
Entity type:Organization
Organization Name:KAREN G. SCHUCK,L.P.T.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:GORDY
Authorized Official - Last Name:SCHUCK
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:940-566-1513
Mailing Address - Street 1:2515 SCRIPTURE ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-2311
Mailing Address - Country:US
Mailing Address - Phone:940-566-1513
Mailing Address - Fax:940-566-7039
Practice Address - Street 1:2515 SCRIPTURE ST
Practice Address - Street 2:SUITE 204
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-2311
Practice Address - Country:US
Practice Address - Phone:940-566-1513
Practice Address - Fax:940-566-7039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1010973261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX650 137Medicare ID - Type Unspecified