Provider Demographics
NPI:1750646444
Name:SCHNEIDER, HOLLEE L (LMT)
Entity Type:Individual
Prefix:
First Name:HOLLEE
Middle Name:L
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:545 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:WINDSOR LOCKS
Mailing Address - State:CT
Mailing Address - Zip Code:06096-1106
Mailing Address - Country:US
Mailing Address - Phone:860-922-1931
Mailing Address - Fax:
Practice Address - Street 1:545 SPRING ST
Practice Address - Street 2:
Practice Address - City:WINDSOR LOCKS
Practice Address - State:CT
Practice Address - Zip Code:06096-1106
Practice Address - Country:US
Practice Address - Phone:860-922-1931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-09
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT7287225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist