Provider Demographics
NPI:1689269805
Name:SCHIMKE, MARIAH KALEE (OTR/L)
Entity Type:Individual
Prefix:
First Name:MARIAH
Middle Name:KALEE
Last Name:SCHIMKE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:MARIAH
Other - Middle Name:KALEE
Other - Last Name:CRUSCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2510 N PINES RD STE 1
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-7636
Mailing Address - Country:US
Mailing Address - Phone:509-828-8018
Mailing Address - Fax:
Practice Address - Street 1:2510 N PINES RD STE 1
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-7636
Practice Address - Country:US
Practice Address - Phone:509-828-8018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61129429225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist