Provider Demographics
NPI:1720324775
Name:SCHULZE, MICHELLE ALISON (MS,PT)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:ALISON
Last Name:SCHULZE
Suffix:
Gender:F
Credentials:MS,PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5818 CHARLOIS CT
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80922-2226
Mailing Address - Country:US
Mailing Address - Phone:719-200-4148
Mailing Address - Fax:
Practice Address - Street 1:5818 CHARLOIS CT
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80922-2226
Practice Address - Country:US
Practice Address - Phone:719-200-4148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-19
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8353225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist