Provider Demographics
NPI:1699902312
Name:SCHOENHERR, RICHELLE MARIE
Entity type:Individual
Prefix:MISS
First Name:RICHELLE
Middle Name:MARIE
Last Name:SCHOENHERR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24853 CHERNICK ST
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-2113
Mailing Address - Country:US
Mailing Address - Phone:313-608-6457
Mailing Address - Fax:
Practice Address - Street 1:11010 JANET ST
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-4079
Practice Address - Country:US
Practice Address - Phone:313-608-6457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-20
Last Update Date:2009-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT13611225X00000X
MI5201004381225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist