Provider Demographics
NPI:1912504960
Name:SCHULZ, MARISSA ERIN (OTR)
Entity type:Individual
Prefix:
First Name:MARISSA
Middle Name:ERIN
Last Name:SCHULZ
Suffix:
Gender:
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 2ND ST SW
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:MN
Mailing Address - Zip Code:55964-1315
Mailing Address - Country:US
Mailing Address - Phone:507-993-9597
Mailing Address - Fax:
Practice Address - Street 1:102 ELTON HILLS DR NW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-3562
Practice Address - Country:US
Practice Address - Phone:507-993-9597
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-02
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN106353225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist