Provider Demographics
NPI:1841788254
Name:SCHMITZ, HILARY ELIZABETH (MOT R/L)
Entity Type:Individual
Prefix:
First Name:HILARY
Middle Name:ELIZABETH
Last Name:SCHMITZ
Suffix:
Gender:F
Credentials:MOT R/L
Other - Prefix:
Other - First Name:HILARY
Other - Middle Name:ELIZABETH
Other - Last Name:STANLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MOT R/L
Mailing Address - Street 1:228 W 4TH ST APT 313
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64105-4510
Mailing Address - Country:US
Mailing Address - Phone:816-589-2688
Mailing Address - Fax:
Practice Address - Street 1:600 NE MEADOWVIEW DR
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64064-1983
Practice Address - Country:US
Practice Address - Phone:816-607-6550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-01
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010025056225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist