Provider Demographics
NPI:1447066477
Name:SCHLUCKBIER, CARLY MARIE (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:CARLY
Middle Name:MARIE
Last Name:SCHLUCKBIER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7740 WATERMAN RD
Mailing Address - Street 2:
Mailing Address - City:VASSAR
Mailing Address - State:MI
Mailing Address - Zip Code:48768-9440
Mailing Address - Country:US
Mailing Address - Phone:989-863-8025
Mailing Address - Fax:
Practice Address - Street 1:1100 COOPER AVE
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-5354
Practice Address - Country:US
Practice Address - Phone:989-863-8025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501303621225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist