Provider Demographics
NPI:1194268367
Name:SCHUTZ, DAVID ANDRE (CSCS, DPT)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:ANDRE
Last Name:SCHUTZ
Suffix:
Gender:M
Credentials:CSCS, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1243 E. SPRUCE AVE.
Mailing Address - Street 2:SUITE 105
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720
Mailing Address - Country:US
Mailing Address - Phone:559-431-6700
Mailing Address - Fax:559-431-6777
Practice Address - Street 1:1243 E. SPRUCE AVE.
Practice Address - Street 2:SUITE 105
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720
Practice Address - Country:US
Practice Address - Phone:559-431-6700
Practice Address - Fax:559-431-6777
Is Sole Proprietor?:No
Enumeration Date:2016-11-21
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist