Provider Demographics
NPI:1154688729
Name:SCHMAHL, DENNIS TROY (OTR/L)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:TROY
Last Name:SCHMAHL
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2810 N ALVERNON WAY STE 600
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-1535
Mailing Address - Country:US
Mailing Address - Phone:520-321-1495
Mailing Address - Fax:520-321-1593
Practice Address - Street 1:2810 N ALVERNON WAY STE 600
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-1535
Practice Address - Country:US
Practice Address - Phone:520-321-1495
Practice Address - Fax:520-321-1593
Is Sole Proprietor?:No
Enumeration Date:2012-04-19
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2533225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZP31760Medicare UPIN