Provider Demographics
NPI:1760539795
Name:SCHATZ, LAURA ANN (OT)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:ANN
Last Name:SCHATZ
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79 W WOOD RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:RIVER FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54022-8293
Mailing Address - Country:US
Mailing Address - Phone:715-425-5826
Mailing Address - Fax:
Practice Address - Street 1:1830 HANLEY RD
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016-9368
Practice Address - Country:US
Practice Address - Phone:715-386-1155
Practice Address - Fax:715-386-1105
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI957-26225X00000X
MN103174225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist