Provider Demographics
NPI:1730317140
Name:SCHEIDER, SHARI LYNN (PT, DPT)
Entity Type:Individual
Prefix:
First Name:SHARI
Middle Name:LYNN
Last Name:SCHEIDER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:533 W GUADALUPE RD
Mailing Address - Street 2:UNIT 1043
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-7756
Mailing Address - Country:US
Mailing Address - Phone:480-213-6380
Mailing Address - Fax:
Practice Address - Street 1:533 W GUADALUPE RD
Practice Address - Street 2:UNIT 1043
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-7756
Practice Address - Country:US
Practice Address - Phone:480-213-6380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-24
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7416225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist