Provider Demographics
NPI:1992194435
Name:SCHUCK, KARIE (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:KARIE
Middle Name:
Last Name:SCHUCK
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2003 ZSCHOKKE ST
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:IL
Mailing Address - Zip Code:62249-2608
Mailing Address - Country:US
Mailing Address - Phone:618-558-0038
Mailing Address - Fax:
Practice Address - Street 1:2003 ZSCHOKKE ST
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:IL
Practice Address - Zip Code:62249-2608
Practice Address - Country:US
Practice Address - Phone:618-558-0038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-21
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist