Provider Demographics
NPI:1659822252
Name:SCHAEF, TAMBER
Entity Type:Individual
Prefix:
First Name:TAMBER
Middle Name:
Last Name:SCHAEF
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 1:27344 PATTERSON RD
Mailing Address - Street 2:
Mailing Address - City:GUYS MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:16327-1930
Mailing Address - Country:US
Mailing Address - Phone:814-795-6618
Mailing Address - Fax:
Practice Address - Street 1:1755 WITTINGTON PL
Practice Address - Street 2:#175
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-1927
Practice Address - Country:US
Practice Address - Phone:214-442-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-18
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVPT003665225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist