Provider Demographics
NPI:1740468735
Name:SCHULTZ, KRISTOPHER ROSS (DPT)
Entity type:Individual
Prefix:MR
First Name:KRISTOPHER
Middle Name:ROSS
Last Name:SCHULTZ
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1317 HARLEM RD
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14206-1902
Mailing Address - Country:US
Mailing Address - Phone:716-674-1509
Mailing Address - Fax:716-674-1787
Practice Address - Street 1:560 CENTER RD
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-2157
Practice Address - Country:US
Practice Address - Phone:716-674-1509
Practice Address - Fax:716-674-1787
Is Sole Proprietor?:No
Enumeration Date:2008-02-01
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026951-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist