| Taylor Schultz, | |
|
1016 N Saginaw St, Holly, MI 48442-1379 | |
| (248) 634-4424 | |
| (248) 634-5995 |
| Full Name | Taylor Schultz |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1016 N Saginaw St, Holly, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043761893 | NPI | - | NPPES |
| 432785585597 | Other | MICHIGAN DRIVER'S LICENSE | |
| 5501017946 | Other | PHYSICAL THERAPIST LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501017946 (Michigan) | Primary |
| Provider Name | Functional Dimensions, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1750661542 PECOS PAC ID: 6608026190 Enrollment ID: O20121018000092 |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Schultz, 3899 W Front St, Ste 3, Traverse City, MI 49684-8104 Ph: (248) 634-4424 | Taylor Schultz, 1016 N Saginaw St, Holly, MI 48442-1379 Ph: (248) 634-4424 |
Abigail Anne Hereau, PT, DPT, ATC Physical Therapist Medicare: Medicare Enrolled Practice Location: 10483 Dixie Hwy, Holly, MI 48442 Phone: 810-498-2301 | |
Anna Marie Bradley, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10483 Dixie Hwy, Holly, MI 48442 Phone: 810-771-7686 | |
Heather Hepper, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10483 Dixie Hwy, Holly, MI 48442 Phone: 810-771-7686 Fax: 810-771-7685 | |
Erin Uehara, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10483 Dixie Hwy, Holly, MI 48442 Phone: 810-771-7686 | |
Daniel Pillivant, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10483 Dixie Hwy, Holly, MI 48442 Phone: 810-771-7686 | |
Kelsey Paul, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10483 Dixie Hwy, Holly, MI 48442 Phone: 810-771-7686 |