Provider Demographics
NPI:1457370355
Name:SCHMITZ, DAVID (MSPT, OMPT)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:SCHMITZ
Suffix:
Gender:M
Credentials:MSPT, OMPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1820 SHAFFER ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49048
Mailing Address - Country:US
Mailing Address - Phone:269-384-3066
Mailing Address - Fax:269-384-3065
Practice Address - Street 1:1820 SHAFFER ST
Practice Address - Street 2:SUITE B
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49048
Practice Address - Country:US
Practice Address - Phone:269-384-3066
Practice Address - Fax:269-384-3065
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501011971225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist