Provider Demographics
NPI:1710201108
Name:SCHEMMEL, ELLEN ANNE (MS PT)
Entity Type:Individual
Prefix:
First Name:ELLEN
Middle Name:ANNE
Last Name:SCHEMMEL
Suffix:
Gender:F
Credentials:MS PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5302 TURKEY FOOT RD
Mailing Address - Street 2:
Mailing Address - City:ZIONSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46077-8739
Mailing Address - Country:US
Mailing Address - Phone:317-873-5086
Mailing Address - Fax:
Practice Address - Street 1:5302 TURKEY FOOT RD
Practice Address - Street 2:
Practice Address - City:ZIONSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46077-8739
Practice Address - Country:US
Practice Address - Phone:317-873-5086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-15
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05000289A2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic