Provider Demographics
NPI:1376618322
Name:SCHAFFHAUSER, MARGARET (RPT)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:SCHAFFHAUSER
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:PEG
Other - Middle Name:
Other - Last Name:SCHAFFHAUSER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPT
Mailing Address - Street 1:PO BOX 71241
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99707-1241
Mailing Address - Country:US
Mailing Address - Phone:907-455-6448
Mailing Address - Fax:907-455-6448
Practice Address - Street 1:2155 ORANGE LEAF DR.
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99709
Practice Address - Country:US
Practice Address - Phone:907-455-6448
Practice Address - Fax:907-455-6448
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK292225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKPT0542Medicaid