Provider Demographics
NPI:1932713195
Name:SCHOENFELD, AMY MARIE-LUCERO (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:MARIE-LUCERO
Last Name:SCHOENFELD
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:MARIE
Other - Last Name:LUCERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 932184
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:31193-2184
Mailing Address - Country:US
Mailing Address - Phone:800-699-9395
Mailing Address - Fax:
Practice Address - Street 1:151 STAGECOACH TRL STE 230
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-3863
Practice Address - Country:US
Practice Address - Phone:512-214-8202
Practice Address - Fax:512-214-8061
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-04
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1334397225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty