Provider Demographics
NPI:1285462630
Name:SCHANZ, CHRISTINE N (AT, ATC)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:N
Last Name:SCHANZ
Suffix:
Gender:F
Credentials:AT, ATC
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:BRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AT, ATC
Mailing Address - Street 1:1158 BARBEAU DR
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48638-5401
Mailing Address - Country:US
Mailing Address - Phone:937-205-1663
Mailing Address - Fax:
Practice Address - Street 1:4401 CAMPUS RIDGE DR STE 1000
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-6125
Practice Address - Country:US
Practice Address - Phone:989-837-9350
Practice Address - Fax:989-837-9347
Is Sole Proprietor?:No
Enumeration Date:2024-07-25
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT0041022255A2300X
MI26010026422255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer