Provider Demographics
NPI:1275022766
Name:SCHREIBER, LETITIA NANETTE (LMT)
Entity Type:Individual
Prefix:
First Name:LETITIA
Middle Name:NANETTE
Last Name:SCHREIBER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:NANETTE
Other - Middle Name:
Other - Last Name:SCHREIBER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMT
Mailing Address - Street 1:3349 ROUTE 75 TRLR 58
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25704-7101
Mailing Address - Country:US
Mailing Address - Phone:304-972-0059
Mailing Address - Fax:
Practice Address - Street 1:1301 7TH AVE STE B
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-2964
Practice Address - Country:US
Practice Address - Phone:304-208-2927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-09
Last Update Date:2018-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist