Provider Demographics
NPI:1639066277
Name:SCHAIBLE, SHELLY (LMT)
Entity type:Individual
Prefix:
First Name:SHELLY
Middle Name:
Last Name:SCHAIBLE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:SHELLY
Other - Middle Name:
Other - Last Name:CORPMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:2590 BILLINGSLEY RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-1990
Mailing Address - Country:US
Mailing Address - Phone:614-325-9490
Mailing Address - Fax:
Practice Address - Street 1:2590 BILLINGSLEY RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-1990
Practice Address - Country:US
Practice Address - Phone:614-325-9490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.022391225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist