Provider Demographics
NPI:1386886075
Name:SCHOENHERR, CALLIE (OTR/L)
Entity type:Individual
Prefix:
First Name:CALLIE
Middle Name:
Last Name:SCHOENHERR
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2118 LONGFIN CT
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80550-3344
Mailing Address - Country:US
Mailing Address - Phone:970-690-7337
Mailing Address - Fax:970-460-0507
Practice Address - Street 1:2118 LONGFIN CT
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550-3344
Practice Address - Country:US
Practice Address - Phone:970-690-7337
Practice Address - Fax:970-460-0507
Is Sole Proprietor?:No
Enumeration Date:2009-03-27
Last Update Date:2021-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO20673345Medicaid