Provider Demographics
NPI:1922261205
Name:SCHNAUS, NICOLE D
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:D
Last Name:SCHNAUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 SHINGLE WAY
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-1708
Mailing Address - Country:US
Mailing Address - Phone:615-778-9144
Mailing Address - Fax:615-778-9177
Practice Address - Street 1:300 SHINGLE WAY
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-1708
Practice Address - Country:US
Practice Address - Phone:615-778-9144
Practice Address - Fax:615-778-9177
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8083225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN103I658210Medicare PIN
TN103G658212Medicare PIN