Provider Demographics
NPI:1275680555
Name:SCHATTSCHNEIDER, CHRIS (LAT)
Entity Type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:
Last Name:SCHATTSCHNEIDER
Suffix:
Gender:M
Credentials:LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:933 NEWBURY ST.
Mailing Address - Street 2:
Mailing Address - City:RIPON
Mailing Address - State:WI
Mailing Address - Zip Code:54971
Mailing Address - Country:US
Mailing Address - Phone:920-748-7259
Mailing Address - Fax:920-748-0527
Practice Address - Street 1:933 NEWBURY ST.
Practice Address - Street 2:
Practice Address - City:RIPON
Practice Address - State:WI
Practice Address - Zip Code:54971
Practice Address - Country:US
Practice Address - Phone:920-748-0528
Practice Address - Fax:920-748-0527
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI53-0392255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer