Provider Demographics
NPI:1588286207
Name:SCHUTTE, COLTER ANTHONY
Entity type:Individual
Prefix:
First Name:COLTER
Middle Name:ANTHONY
Last Name:SCHUTTE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 SAGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-4805
Mailing Address - Country:US
Mailing Address - Phone:402-984-7644
Mailing Address - Fax:
Practice Address - Street 1:325 SAGEWOOD DR
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-4805
Practice Address - Country:US
Practice Address - Phone:402-984-7644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-15
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker