Provider Demographics
NPI:1487852232
Name:SCHUTZ, JENNIFER
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:
Last Name:SCHUTZ
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 1:72825 HIGHWAY 283
Mailing Address - Street 2:
Mailing Address - City:ARAPAHOE
Mailing Address - State:NE
Mailing Address - Zip Code:68922-2203
Mailing Address - Country:US
Mailing Address - Phone:308-962-7450
Mailing Address - Fax:
Practice Address - Street 1:72825 HIGHWAY 283
Practice Address - Street 2:
Practice Address - City:ARAPAHOE
Practice Address - State:NE
Practice Address - Zip Code:68922-2203
Practice Address - Country:US
Practice Address - Phone:308-962-7450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE700225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist