Provider Demographics
NPI:1720285315
Name:SCHNAITTER, VIRGINIA FAYE (LMT)
Entity Type:Individual
Prefix:MS
First Name:VIRGINIA
Middle Name:FAYE
Last Name:SCHNAITTER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5766 BRONX AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-8413
Mailing Address - Country:US
Mailing Address - Phone:941-921-3168
Mailing Address - Fax:941-921-3168
Practice Address - Street 1:5766 BRONX AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-8413
Practice Address - Country:US
Practice Address - Phone:941-921-3168
Practice Address - Fax:941-921-3168
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA14376225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist