Provider Demographics
NPI:1639582380
Name:SCHULMEYER, STEPHANIE (AT, MS, ATC)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:SCHULMEYER
Suffix:
Gender:F
Credentials:AT, MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7400 BAY RD
Mailing Address - Street 2:SAGINAW VALLEY STATE UNIVERSITY RYDER 156
Mailing Address - City:UNIVERSITY CENTER
Mailing Address - State:MI
Mailing Address - Zip Code:48710-0001
Mailing Address - Country:US
Mailing Address - Phone:989-964-7233
Mailing Address - Fax:
Practice Address - Street 1:7400 BAY RD
Practice Address - Street 2:SAGINAW VALLEY STATE UNIVERSITY RYDER 156
Practice Address - City:UNIVERSITY CENTER
Practice Address - State:MI
Practice Address - Zip Code:48710-0001
Practice Address - Country:US
Practice Address - Phone:989-964-7233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-10
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI26010010522255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer