Provider Demographics
NPI:1801555933
Name:SCAHFFER, CORINNE MICHELLE (MT)
Entity type:Individual
Prefix:
First Name:CORINNE
Middle Name:MICHELLE
Last Name:SCAHFFER
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4892 CORLISS RD
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:OH
Mailing Address - Zip Code:44124-1166
Mailing Address - Country:US
Mailing Address - Phone:216-556-1122
Mailing Address - Fax:
Practice Address - Street 1:5584 MAYFIELD RD
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:OH
Practice Address - Zip Code:44124-2928
Practice Address - Country:US
Practice Address - Phone:440-589-8852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-16
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.025555225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist