Provider Demographics
NPI:1821340027
Name:SCHLEICHER, ALLEN RICHARD (PT)
Entity Type:Individual
Prefix:MR
First Name:ALLEN
Middle Name:RICHARD
Last Name:SCHLEICHER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 DEER HORN CT
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86301-5707
Mailing Address - Country:US
Mailing Address - Phone:928-899-0956
Mailing Address - Fax:
Practice Address - Street 1:864 DOUGHERTY ST
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86305-1841
Practice Address - Country:US
Practice Address - Phone:928-778-9667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-11
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ14982251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics