Provider Demographics
NPI:1558426841
Name:SCHICHTEL, MAUREEN MARGARET (PT, DPT, MSED, CCI)
Entity Type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:MARGARET
Last Name:SCHICHTEL
Suffix:
Gender:F
Credentials:PT, DPT, MSED, CCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 RUSTIC RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-8907
Mailing Address - Country:US
Mailing Address - Phone:740-319-7807
Mailing Address - Fax:
Practice Address - Street 1:22 WEST MAIN STREET
Practice Address - Street 2:
Practice Address - City:NEW CONCORD
Practice Address - State:OH
Practice Address - Zip Code:43762-1219
Practice Address - Country:US
Practice Address - Phone:740-261-5152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028753225100000X
OHPT017979225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist