Provider Demographics
NPI:1174547897
Name:SCHULTE, ADAM (ATC, LAT)
Entity type:Individual
Prefix:MR
First Name:ADAM
Middle Name:
Last Name:SCHULTE
Suffix:
Gender:M
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5001 W FAIRVIEW ST
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-4514
Mailing Address - Country:US
Mailing Address - Phone:480-620-8660
Mailing Address - Fax:
Practice Address - Street 1:4685 S ASH AVE
Practice Address - Street 2:SUITE H-1
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-6857
Practice Address - Country:US
Practice Address - Phone:480-620-8660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ04102255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer