Individual
DEREK ANTON SCHILDKNECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1014 BUSINESS PARK DR STE A, HAILEY, ID 83333-5233
(208) 788-6312
(208) 578-1053
Mailing address
4700 SETON CENTER PKWY, STE 200, AUSTIN, TX 78759-4107
(512) 439-1000
(512) 439-1081
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1344860
TX
Other
Enumeration date
05/29/2018
Last updated
06/08/2021
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