Provider Demographics
NPI:1801071790
Name:SCHMITT, AMY J (LPTA)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:J
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:J
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPTA
Mailing Address - Street 1:135 N LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:CAZENOVIA
Mailing Address - State:WI
Mailing Address - Zip Code:53924-7059
Mailing Address - Country:US
Mailing Address - Phone:608-983-2805
Mailing Address - Fax:
Practice Address - Street 1:135 N LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:CAZENOVIA
Practice Address - State:WI
Practice Address - Zip Code:53924-7059
Practice Address - Country:US
Practice Address - Phone:608-983-2805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-09
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI237019225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant