Provider Demographics
NPI:1306876636
Name:SCHNIEPP, JILL SUZANNE (PT)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:SUZANNE
Last Name:SCHNIEPP
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5617 COMANCHE WAY
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53704-1027
Mailing Address - Country:US
Mailing Address - Phone:608-283-9775
Mailing Address - Fax:608-846-8840
Practice Address - Street 1:6902 PARKSIDE CIR
Practice Address - Street 2:
Practice Address - City:DE FOREST
Practice Address - State:WI
Practice Address - Zip Code:53532-2560
Practice Address - Country:US
Practice Address - Phone:608-846-8844
Practice Address - Fax:608-846-8840
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI12940-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist