Provider Demographics
NPI:1760991749
Name:SCHACHTLER, PETER EDWARD II (LMT)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:EDWARD
Last Name:SCHACHTLER
Suffix:II
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3985 ONEIDA ST STE 104
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413-9733
Mailing Address - Country:US
Mailing Address - Phone:315-982-7087
Mailing Address - Fax:
Practice Address - Street 1:3985 ONEIDA ST STE 104
Practice Address - Street 2:
Practice Address - City:NEW HARTFORD
Practice Address - State:NY
Practice Address - Zip Code:13413-9733
Practice Address - Country:US
Practice Address - Phone:315-982-7087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030161225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist