Provider Demographics
NPI:1053634261
Name:YOUNG, SCHONETT MERIE (OTR)
Entity Type:Individual
Prefix:
First Name:SCHONETT
Middle Name:MERIE
Last Name:YOUNG
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:760 MARSH AVE.
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509
Mailing Address - Country:US
Mailing Address - Phone:775-287-4886
Mailing Address - Fax:
Practice Address - Street 1:1441 USFS RD 507 1A
Practice Address - Street 2:
Practice Address - City:CREEDE
Practice Address - State:CO
Practice Address - Zip Code:81130-9655
Practice Address - Country:US
Practice Address - Phone:775-287-4886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-03
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0217225X00000X
NY017170225X00000X
NMOT3467225X00000X
COOT.0003485225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist