Provider Demographics
NPI:1407399173
Name:SCHUTZIUS, JANEE
Entity Type:Individual
Prefix:
First Name:JANEE
Middle Name:
Last Name:SCHUTZIUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 LAWRENCE ROAD 226
Mailing Address - Street 2:
Mailing Address - City:POWHATAN
Mailing Address - State:AR
Mailing Address - Zip Code:72458-8508
Mailing Address - Country:US
Mailing Address - Phone:501-412-4465
Mailing Address - Fax:870-892-7945
Practice Address - Street 1:126 LAWRENCE ROAD 226
Practice Address - Street 2:
Practice Address - City:POWHATAN
Practice Address - State:AR
Practice Address - Zip Code:72458-8508
Practice Address - Country:US
Practice Address - Phone:501-412-4465
Practice Address - Fax:870-892-7945
Is Sole Proprietor?:No
Enumeration Date:2016-11-29
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist