Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | MT105242 | TX |
N | 2251E1200X | Ergonomics | MT105242 | TX |
N | 225XE1200X | Ergonomics | MT105242 | TX |
N | 2251G0304X | Physical Therapist - Geriatrics | MT105242 | TX |
N | 2251S0007X | Physical Therapist - Sports | MT105242 | TX |
Y | 225700000X | Massage Therapist | MT105242 | TX |
N | 2251E1200X | Ergonomics | MT105242 | TX |
N | 225XE1200X | Ergonomics | MT105242 | TX |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | MT105242 | TX |
NPI | 1326281684 |
---|---|
Provider Name | Mr. Herbert D Schlichting |
First Address | Carrollton, TX 75006-2075 |
Second Address | Carrollton, TX 75007-3736 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2009 |
Last Update Date | 15/04/2009 |