Provider Demographics
NPI:1992926315
Name:SCHWARTZKOPF, MINDY (PT)
Entity type:Individual
Prefix:
First Name:MINDY
Middle Name:
Last Name:SCHWARTZKOPF
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22311 W 56TH ST
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66226-7938
Mailing Address - Country:US
Mailing Address - Phone:913-310-0703
Mailing Address - Fax:
Practice Address - Street 1:22311 W 56TH ST
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66226-7938
Practice Address - Country:US
Practice Address - Phone:913-310-0703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-02741225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist