Provider Demographics
NPI:1932510880
Name:SCHULZ, KRISTEN ANN (PT)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:ANN
Last Name:SCHULZ
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 1:315 E CALEDONIA AVE
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:ND
Mailing Address - Zip Code:58045-4701
Mailing Address - Country:US
Mailing Address - Phone:701-636-3217
Mailing Address - Fax:701-636-3206
Practice Address - Street 1:315 E CALEDONIA AVE
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:ND
Practice Address - Zip Code:58045-4701
Practice Address - Country:US
Practice Address - Phone:701-636-3217
Practice Address - Fax:701-636-3206
Is Sole Proprietor?:No
Enumeration Date:2014-05-14
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1765225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist