Provider Demographics
NPI:1639492853
Name:SCHUELLER, TERI KRISTINA (OTR/L)
Entity Type:Individual
Prefix:
First Name:TERI
Middle Name:KRISTINA
Last Name:SCHUELLER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29157 250TH ST
Mailing Address - Street 2:
Mailing Address - City:WABASSO
Mailing Address - State:MN
Mailing Address - Zip Code:56293-1271
Mailing Address - Country:US
Mailing Address - Phone:507-828-3965
Mailing Address - Fax:
Practice Address - Street 1:29157 250TH ST
Practice Address - Street 2:
Practice Address - City:WABASSO
Practice Address - State:MN
Practice Address - Zip Code:56293-1271
Practice Address - Country:US
Practice Address - Phone:507-828-3965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-02
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN103859282N00000X, 273Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
No282N00000XHospitalsGeneral Acute Care Hospital