Provider Demographics
| NPI: | 1407056567 |
|---|---|
| Name: | SCHUEMANN, TERESA L (PT) |
| Entity type: | Individual |
| Prefix: | DR |
| First Name: | TERESA |
| Middle Name: | L |
| Last Name: | SCHUEMANN |
| Suffix: | |
| Gender: | F |
| Credentials: | PT |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | 15850 STELLER RIDGE RD |
| Mailing Address - Street 2: | |
| Mailing Address - City: | LOVELAND |
| Mailing Address - State: | CO |
| Mailing Address - Zip Code: | 80538-9176 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 970-402-1682 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 15850 STELLER RIDGE RD |
| Practice Address - Street 2: | |
| Practice Address - City: | LOVELAND |
| Practice Address - State: | CO |
| Practice Address - Zip Code: | 80538-9176 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 970-402-1682 |
| Practice Address - Fax: | |
| Is Sole Proprietor?: | Yes |
| Enumeration Date: | 2007-07-18 |
| Last Update Date: | 2017-01-04 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| CO | PTL-5317 | 2251S0007X, 2251X0800X |
| CO | AT.0000634 | 171W00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 2251S0007X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Sports |
| No | 2251X0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic |
| No | 171W00000X | Other Service Providers | Contractor |