Provider Demographics
NPI:1851268478
Name:SCHUNNEMAN, REBECCA R (LMT)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:R
Last Name:SCHUNNEMAN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 HANNA DR
Mailing Address - Street 2:
Mailing Address - City:EAST WATERBORO
Mailing Address - State:ME
Mailing Address - Zip Code:04030-5128
Mailing Address - Country:US
Mailing Address - Phone:207-680-0420
Mailing Address - Fax:207-247-8101
Practice Address - Street 1:16 HANNA DR
Practice Address - Street 2:
Practice Address - City:EAST WATERBORO
Practice Address - State:ME
Practice Address - Zip Code:04030-5128
Practice Address - Country:US
Practice Address - Phone:207-680-0420
Practice Address - Fax:207-247-8101
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-20
Last Update Date:2025-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMT-8148225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist