Provider Demographics
NPI:1194453332
Name:SCHUH, MADISON NOEL (PTA)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:NOEL
Last Name:SCHUH
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40609 ROUNDUP RD
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-1418
Mailing Address - Country:US
Mailing Address - Phone:281-841-3500
Mailing Address - Fax:
Practice Address - Street 1:18001 HIGHWAY 105 W STE 106
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77356-2881
Practice Address - Country:US
Practice Address - Phone:936-582-2464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-14
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2170397225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant