Provider Demographics
NPI:1801003835
Name:SCHULZ, KATHERINE (OT)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:
Last Name:SCHULZ
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 GARDEN ARBOR CT
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-7223
Mailing Address - Country:US
Mailing Address - Phone:239-464-9749
Mailing Address - Fax:803-520-3125
Practice Address - Street 1:3016 LONGTOWN COMMONS DR STE 200A&305
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-7861
Practice Address - Country:US
Practice Address - Phone:803-314-0529
Practice Address - Fax:803-314-0543
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT8997225X00000X
SC6729225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLOT8997OtherSTATE LICENSE
FLE5860XMedicare PIN