Provider Demographics
NPI:1801927660
Name:SCHLAAK, DENISE L (PT)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:L
Last Name:SCHLAAK
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3641 RABBITS FOOT TRL
Mailing Address - Street 2:#4
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-3741
Mailing Address - Country:US
Mailing Address - Phone:859-494-9496
Mailing Address - Fax:
Practice Address - Street 1:3641 RABBITS FOOT TRL
Practice Address - Street 2:#4
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-3741
Practice Address - Country:US
Practice Address - Phone:859-494-9496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY000522225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist