Provider Demographics
NPI:1912789348
Name:SCHMITZ, CYNTHIA (PTA)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:SCHMITZ
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 1:19 MISTY MORNING DR
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD
Mailing Address - State:SC
Mailing Address - Zip Code:29926-2520
Mailing Address - Country:US
Mailing Address - Phone:843-422-7628
Mailing Address - Fax:
Practice Address - Street 1:19 MISTY MORNING DR
Practice Address - Street 2:
Practice Address - City:HILTON HEAD
Practice Address - State:SC
Practice Address - Zip Code:29926-2520
Practice Address - Country:US
Practice Address - Phone:843-422-7628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-19
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3214225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant