Provider Demographics
NPI:1154493161
Name:SCHIEL, MICHELL RENAE (PTA)
Entity Type:Individual
Prefix:MRS
First Name:MICHELL
Middle Name:RENAE
Last Name:SCHIEL
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7210 REGENTS PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43617-2247
Mailing Address - Country:US
Mailing Address - Phone:419-841-9605
Mailing Address - Fax:
Practice Address - Street 1:1621 S BYRNE RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-3456
Practice Address - Country:US
Practice Address - Phone:419-385-3958
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH04623225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant