Provider Demographics
NPI:1043406085
Name:LAWRENCE SCHEAFER, SHANNEN CATHLEEN (PT)
Entity Type:Individual
Prefix:MS
First Name:SHANNEN
Middle Name:CATHLEEN
Last Name:LAWRENCE SCHEAFER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:SHANNEN
Other - Middle Name:CATHLEEN
Other - Last Name:SCHEAFER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:7012 W MAC DOUGALL ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57106-4914
Mailing Address - Country:US
Mailing Address - Phone:605-361-7012
Mailing Address - Fax:
Practice Address - Street 1:7012 W MAC DOUGALL ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57106-4914
Practice Address - Country:US
Practice Address - Phone:605-361-7012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD11072251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics