Provider Demographics
NPI:1750713301
Name:SCHNELL, ELIZABETH (LMT, CN)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:SCHNELL
Suffix:
Gender:F
Credentials:LMT, CN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1471
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80036-1471
Mailing Address - Country:US
Mailing Address - Phone:720-308-9998
Mailing Address - Fax:
Practice Address - Street 1:3798 MARSHALL ST
Practice Address - Street 2:STE 6
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-6458
Practice Address - Country:US
Practice Address - Phone:720-308-9998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT0001348225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist