Provider Demographics
NPI:1386240729
Name:SCHANING, CHELSEA RENEE (COTA/L)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:RENEE
Last Name:SCHANING
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1780 PRICE RD
Mailing Address - Street 2:
Mailing Address - City:OWENSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65066-2701
Mailing Address - Country:US
Mailing Address - Phone:537-301-3997
Mailing Address - Fax:
Practice Address - Street 1:9509 RT-100
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:MO
Practice Address - Zip Code:63068
Practice Address - Country:US
Practice Address - Phone:573-237-2103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-10
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL057.005493224Z00000X
MO2020018063224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant