| Doctor Name: | KELLY RENEE SCHADE |
| NPI Number: | 1689860710 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | 32654 |
| Business Practice Address: | 101 E Natoma St Folsom, CA - 956302700 |
| Business Phone Number: | 9163535295 |
| Business Fax Number: | 9163535297 |
| Mailing Address: | 1301 E Bidwell St Ste 201, FOLSOM |
| State: | CA |
| Postal Code: | 956303452 |
| Phone Number: | 9169835915 |
| Fax Number: | 9169835925 |
| NPI Enumeration Date: | 09/21/2007 |
| NPI Last Update Date: | 09/21/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 32654 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |