Provider Demographics
NPI:1538725064
Name:SCHMITZ, KATHERINE MARGARET
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:MARGARET
Last Name:SCHMITZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:372 DEER TRAIL LN
Mailing Address - Street 2:
Mailing Address - City:OAKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53065-9599
Mailing Address - Country:US
Mailing Address - Phone:920-579-4703
Mailing Address - Fax:
Practice Address - Street 1:3395 PLYMOUTH RD
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55305-3765
Practice Address - Country:US
Practice Address - Phone:952-939-0396
Practice Address - Fax:952-548-8760
Is Sole Proprietor?:No
Enumeration Date:2019-05-09
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist