Provider Demographics
NPI:1386504116
Name:SCHIMMEL, KATHERINE ELAINE (LMT, CFT, CESMT)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:ELAINE
Last Name:SCHIMMEL
Suffix:
Gender:F
Credentials:LMT, CFT, CESMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:927 LORING ST STE 4
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:WI
Mailing Address - Zip Code:54720-1195
Mailing Address - Country:US
Mailing Address - Phone:715-830-9890
Mailing Address - Fax:
Practice Address - Street 1:927 LORING ST STE 4
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:WI
Practice Address - Zip Code:54720-1195
Practice Address - Country:US
Practice Address - Phone:715-830-9890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-14
Last Update Date:2025-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2132-146225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist