Provider Demographics
NPI:1649821687
Name:SCHNEIDER, ISAAC MATTHEW (PT, DPT)
Entity type:Individual
Prefix:
First Name:ISAAC
Middle Name:MATTHEW
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 LETTON DR
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:KY
Mailing Address - Zip Code:40361-2251
Mailing Address - Country:US
Mailing Address - Phone:859-340-1061
Mailing Address - Fax:
Practice Address - Street 1:229 LETTON DR
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:KY
Practice Address - Zip Code:40361-2251
Practice Address - Country:US
Practice Address - Phone:859-340-1061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-20
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT35163225100000X
KY008284225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist