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Individual

KEITH SCHUCHARDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1534 E RAY RD STE 104, GILBERT, AZ 85296-4429
(480) 855-5542
Mailing address
14287 N 87TH ST STE 220, SCOTTSDALE, AZ 85260-3698
(480) 937-1000
(480) 860-0356

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT31351
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CP014717T
PT COMPACT PRIVILEGE VERIFICATION
TX
Enumeration date
10/14/2020
Last updated
06/16/2023
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