Provider Demographics
NPI: | 1407056567 |
---|---|
Name: | SCHUEMANN, TERESA L (PT) |
Entity type: | Individual |
Prefix: | DR |
First Name: | TERESA |
Middle Name: | L |
Last Name: | SCHUEMANN |
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: | 15850 STELLER RIDGE RD |
Mailing Address - Street 2: | |
Mailing Address - City: | LOVELAND |
Mailing Address - State: | CO |
Mailing Address - Zip Code: | 80538-9176 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 970-402-1682 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 15850 STELLER RIDGE RD |
Practice Address - Street 2: | |
Practice Address - City: | LOVELAND |
Practice Address - State: | CO |
Practice Address - Zip Code: | 80538-9176 |
Practice Address - Country: | US |
Practice Address - Phone: | 970-402-1682 |
Practice Address - Fax: | |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2007-07-18 |
Last Update Date: | 2017-01-04 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
CO | PTL-5317 | 2251S0007X, 2251X0800X |
CO | AT.0000634 | 171W00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 2251S0007X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Sports |
No | 2251X0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic |
No | 171W00000X | Other Service Providers | Contractor |