Provider Demographics
NPI:1427515543
Name:SCHUTZ, KATHLEEN (OTR)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:
Last Name:SCHUTZ
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:443 SYCAMORE DR
Mailing Address - Street 2:
Mailing Address - City:DYER
Mailing Address - State:IN
Mailing Address - Zip Code:46311-1838
Mailing Address - Country:US
Mailing Address - Phone:219-276-2245
Mailing Address - Fax:
Practice Address - Street 1:7935 CALUMET AVE
Practice Address - Street 2:
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-1296
Practice Address - Country:US
Practice Address - Phone:219-836-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-25
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist