Doctor Name: | LISA MARIE SCHNEIDER |
NPI Number: | 1023228228 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 5759 |
Business Practice Address: | 7225 University Ave Ne Fridley, MN - 554323134 |
Business Phone Number: | 7632362150 |
Business Fax Number: | |
Mailing Address: | 1131 Hoyt Ave W, SAINT PAUL |
State: | MN |
Postal Code: | 551082227 |
Phone Number: | 6514709122 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 5759 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |