Provider Demographics
NPI:1396569505
Name:SCHIEBER, MAKAILA JUSTICE (OTR/L)
Entity type:Individual
Prefix:
First Name:MAKAILA
Middle Name:JUSTICE
Last Name:SCHIEBER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3457 236TH LN NW
Mailing Address - Street 2:
Mailing Address - City:SAINT FRANCIS
Mailing Address - State:MN
Mailing Address - Zip Code:55070-5502
Mailing Address - Country:US
Mailing Address - Phone:417-860-7549
Mailing Address - Fax:
Practice Address - Street 1:3457 236TH LN NW
Practice Address - Street 2:
Practice Address - City:SAINT FRANCIS
Practice Address - State:MN
Practice Address - Zip Code:55070-5502
Practice Address - Country:US
Practice Address - Phone:417-860-7549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN107570225X00000X
VT072.0134493225X00000X
MEOT4689225X00000X
MO2019007540225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist