Provider Demographics
NPI:1912433236
Name:SHULTZ, KAITLYN E (DC)
Entity type:Individual
Prefix:DR
First Name:KAITLYN
Middle Name:E
Last Name:SHULTZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 BELMONT ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15904-2145
Mailing Address - Country:US
Mailing Address - Phone:814-479-0206
Mailing Address - Fax:
Practice Address - Street 1:701 BELMONT ST
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15904-2145
Practice Address - Country:US
Practice Address - Phone:814-479-0206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-05
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011249111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor