Provider Demographics
NPI:1194361683
Name:SCHLITT, SHARON MARIE (RN LMT)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:MARIE
Last Name:SCHLITT
Suffix:
Gender:F
Credentials:RN LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1334 EDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-3420
Mailing Address - Country:US
Mailing Address - Phone:419-908-8748
Mailing Address - Fax:
Practice Address - Street 1:1280 THOMAS DR
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-3514
Practice Address - Country:US
Practice Address - Phone:419-281-9450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-20
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.024764225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty