Provider Demographics
NPI:1902371214
Name:SCHNEIDER, SHEILA MICHELLE (MASSMA)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:MICHELLE
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MASSMA
Other - Prefix:
Other - First Name:SHEILA
Other - Middle Name:MICHELLE
Other - Last Name:SCHNEIDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MASSMA
Mailing Address - Street 1:1516 NW 51ST ST APT 218
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-4728
Mailing Address - Country:US
Mailing Address - Phone:586-551-1351
Mailing Address - Fax:
Practice Address - Street 1:1516 NW 51ST ST APT 218
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-4728
Practice Address - Country:US
Practice Address - Phone:586-551-1351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-12
Last Update Date:2018-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60867686225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist