Provider Demographics
NPI:1356727788
Name:SCHULTZ, LEANNE ELYSE (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:LEANNE
Middle Name:ELYSE
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:LEANNE
Other - Middle Name:ELYSE
Other - Last Name:PFEIFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:11169 E I25 FRONTAGE RD STE C
Mailing Address - Street 2:
Mailing Address - City:FIRESTONE
Mailing Address - State:CO
Mailing Address - Zip Code:80504-5211
Mailing Address - Country:US
Mailing Address - Phone:720-600-0370
Mailing Address - Fax:
Practice Address - Street 1:11169 E I25 FRONTAGE RD STE C
Practice Address - Street 2:
Practice Address - City:FIRESTONE
Practice Address - State:CO
Practice Address - Zip Code:80504-5211
Practice Address - Country:US
Practice Address - Phone:720-600-0370
Practice Address - Fax:720-600-0374
Is Sole Proprietor?:No
Enumeration Date:2015-08-07
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA292509225100000X
CO0013545225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist