Provider Demographics
NPI:1184316465
Name:SCHAUER, MELISSA D (LMT)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:D
Last Name:SCHAUER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2080 MISSOURI LOOP N
Mailing Address - Street 2:
Mailing Address - City:MANDAN
Mailing Address - State:ND
Mailing Address - Zip Code:58554-5440
Mailing Address - Country:US
Mailing Address - Phone:701-400-0773
Mailing Address - Fax:
Practice Address - Street 1:2080 MISSOURI LOOP N
Practice Address - Street 2:
Practice Address - City:MANDAN
Practice Address - State:ND
Practice Address - Zip Code:58554-5440
Practice Address - Country:US
Practice Address - Phone:701-400-0773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-24
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1515225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist