Provider Demographics
NPI:1336736180
Name:SCHEMENAUER, BREANNA (DC)
Entity Type:Individual
Prefix:DR
First Name:BREANNA
Middle Name:
Last Name:SCHEMENAUER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12916 COUNTY HIGHWAY S S
Mailing Address - Street 2:
Mailing Address - City:JIM FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54748-1630
Mailing Address - Country:US
Mailing Address - Phone:715-226-1051
Mailing Address - Fax:
Practice Address - Street 1:45 E ELM ST STE 2
Practice Address - Street 2:
Practice Address - City:CHIPPEWA FALLS
Practice Address - State:WI
Practice Address - Zip Code:54729-1820
Practice Address - Country:US
Practice Address - Phone:715-352-6222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-28
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5593-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor