Provider Demographics
NPI:1669674669
Name:SCHULTE, LEAH MARIE (PT)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:MARIE
Last Name:SCHULTE
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 1:986 DISCOVERY WAY
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59802-8829
Mailing Address - Country:US
Mailing Address - Phone:406-546-6068
Mailing Address - Fax:
Practice Address - Street 1:986 DISCOVERY WAY
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-8829
Practice Address - Country:US
Practice Address - Phone:406-546-6068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1809225100000X
MO02195225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist