Provider Demographics
NPI:1003951336
Name:SCHAETZ, LORI J (OTR, CLT)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:J
Last Name:SCHAETZ
Suffix:
Gender:F
Credentials:OTR, CLT
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:J
Other - Last Name:GEHRKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR, CLT
Mailing Address - Street 1:2600 S HERITAGE WOODS DR
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54915-1408
Mailing Address - Country:US
Mailing Address - Phone:920-545-6806
Mailing Address - Fax:920-225-7825
Practice Address - Street 1:2600 S HERITAGE WOODS DR
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54915-1408
Practice Address - Country:US
Practice Address - Phone:920-545-6806
Practice Address - Fax:920-225-7825
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2281-026225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist