Provider Demographics
NPI:1528346632
Name:SCHOENTHALER, DANIELLE KAISER (PT)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:KAISER
Last Name:SCHOENTHALER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:
Other - Last Name:KAISER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:18 E BLITHEDALE AVE STE 21
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-1946
Mailing Address - Country:US
Mailing Address - Phone:303-482-1540
Mailing Address - Fax:303-482-1545
Practice Address - Street 1:1650 N GRANT ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-1602
Practice Address - Country:US
Practice Address - Phone:303-482-1540
Practice Address - Fax:303-482-1545
Is Sole Proprietor?:No
Enumeration Date:2011-07-25
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0011270225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5501015674OtherSTATE OF MICHIGAN LICENSE