Provider Demographics
NPI:1952702094
Name:SCHUSTER, TRACY-LYNN (DPT)
Entity type:Individual
Prefix:MRS
First Name:TRACY-LYNN
Middle Name:
Last Name:SCHUSTER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 742
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:NC
Mailing Address - Zip Code:28640-0742
Mailing Address - Country:US
Mailing Address - Phone:336-877-6129
Mailing Address - Fax:336-846-4004
Practice Address - Street 1:419 E MAIN ST
Practice Address - Street 2:UNIT 4
Practice Address - City:JEFFERSON
Practice Address - State:NC
Practice Address - Zip Code:28640-9048
Practice Address - Country:US
Practice Address - Phone:336-877-6129
Practice Address - Fax:336-846-4004
Is Sole Proprietor?:No
Enumeration Date:2014-09-09
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP10576225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist