Provider Demographics
NPI:1720701352
Name:SCHULTZ, EMILY KRISTIN (PT, DPT, ACSM-EP)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:KRISTIN
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:PT, DPT, ACSM-EP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:867 37TH ST
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16601-1355
Mailing Address - Country:US
Mailing Address - Phone:814-931-3035
Mailing Address - Fax:
Practice Address - Street 1:1798 PLANK RD STE 103
Practice Address - Street 2:
Practice Address - City:DUNCANSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16635-8389
Practice Address - Country:US
Practice Address - Phone:814-696-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-20
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT030729225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist