Individual
LURESSA SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12151 AVENUE OF THE CHIEFS, CRAZY HORSE, SD 57730-8900
(605) 440-0728
Mailing address
8901 ANDERMATT DR, LINCOLN, NE 68526-6032
(605) 440-0728
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1259000
TX
Other
Enumeration date
05/26/2015
Last updated
07/08/2015
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