Provider Demographics
NPI:1700119039
Name:SCHMITZ, HOLLY JEAN (DPT)
Entity type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:JEAN
Last Name:SCHMITZ
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31861 HENKE RD
Mailing Address - Street 2:
Mailing Address - City:ELK POINT
Mailing Address - State:SD
Mailing Address - Zip Code:57025-6619
Mailing Address - Country:US
Mailing Address - Phone:605-565-2024
Mailing Address - Fax:
Practice Address - Street 1:31861 HENKE RD
Practice Address - Street 2:
Practice Address - City:ELK POINT
Practice Address - State:SD
Practice Address - Zip Code:57025-6619
Practice Address - Country:US
Practice Address - Phone:605-565-2024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-18
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1490225100000X
IA4415225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist