Provider Demographics
NPI:1083049530
Name:SCHLECHT, JILL L (AT)
Entity Type:Individual
Prefix:MS
First Name:JILL
Middle Name:L
Last Name:SCHLECHT
Suffix:
Gender:F
Credentials:AT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1552 BETHLEHEM RD W
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-8416
Mailing Address - Country:US
Mailing Address - Phone:740-361-1719
Mailing Address - Fax:
Practice Address - Street 1:1500 HARDING HWY E
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-4523
Practice Address - Country:US
Practice Address - Phone:740-223-3300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-03
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT-1392255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer