Provider Demographics
NPI:1144460007
Name:BASHAW-SCHMALTZ, PATRICIA ANN (PT)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ANN
Last Name:BASHAW-SCHMALTZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:PATRICIA
Other - Middle Name:ANN
Other - Last Name:BASHAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:907B E JESUIT LN
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:KS
Mailing Address - Zip Code:66536-9643
Mailing Address - Country:US
Mailing Address - Phone:785-437-2663
Mailing Address - Fax:785-437-2564
Practice Address - Street 1:907B E JESUIT LN
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:KS
Practice Address - Zip Code:66536-9643
Practice Address - Country:US
Practice Address - Phone:785-437-2663
Practice Address - Fax:785-437-2564
Is Sole Proprietor?:No
Enumeration Date:2009-03-04
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT10248225100000X
KS11-04032225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist