Provider Demographics
NPI:1205642485
Name:SCHREINER, ELISE (CMLDT)
Entity type:Individual
Prefix:
First Name:ELISE
Middle Name:
Last Name:SCHREINER
Suffix:
Gender:F
Credentials:CMLDT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9408 BRADSHAW ST
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-3738
Mailing Address - Country:US
Mailing Address - Phone:913-904-2578
Mailing Address - Fax:
Practice Address - Street 1:7211 W 98TH TER STE 100B
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-2256
Practice Address - Country:US
Practice Address - Phone:913-904-2578
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner