Provider Demographics
NPI:1184888281
Name:SCHEETZ, JOANN S (OTR)
Entity type:Individual
Prefix:MRS
First Name:JOANN
Middle Name:S
Last Name:SCHEETZ
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2609 W CHELSEA DR
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47304-1230
Mailing Address - Country:US
Mailing Address - Phone:765-288-4209
Mailing Address - Fax:
Practice Address - Street 1:2609 W CHELSEA DR
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47304-1230
Practice Address - Country:US
Practice Address - Phone:765-288-4209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-17
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31003604A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist