Provider Demographics
NPI:1457836058
Name:SCHUMAKER, CHRISTY (LMT)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:
Last Name:SCHUMAKER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:
Other - Last Name:OLECHNOWICZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2598 JEFFERSON PL UNIT A
Mailing Address - Street 2:
Mailing Address - City:STOW
Mailing Address - State:OH
Mailing Address - Zip Code:44224-2065
Mailing Address - Country:US
Mailing Address - Phone:330-840-9881
Mailing Address - Fax:
Practice Address - Street 1:23250 MERCANTILE RD
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5928
Practice Address - Country:US
Practice Address - Phone:216-831-5320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-28
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist