Provider Demographics
NPI:1467621508
Name:SCHNEIDER CARD, TERESA GALE
Entity Type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:GALE
Last Name:SCHNEIDER CARD
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:TERESA
Other - Middle Name:GALE
Other - Last Name:SCHNEIDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 20639
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82003
Mailing Address - Country:US
Mailing Address - Phone:307-634-0871
Mailing Address - Fax:307-638-4054
Practice Address - Street 1:433 E 19TH STREET
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001
Practice Address - Country:US
Practice Address - Phone:307-634-0871
Practice Address - Fax:307-638-4054
Is Sole Proprietor?:No
Enumeration Date:2008-02-22
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYPT437225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
35246OtherBCBS