Provider Demographics
NPI:1952136897
Name:SCHNEIDER-GOSSENS, FAY (CMT)
Entity type:Individual
Prefix:
First Name:FAY
Middle Name:
Last Name:SCHNEIDER-GOSSENS
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3430 HICKS RD
Mailing Address - Street 2:
Mailing Address - City:SEBASTOPOL
Mailing Address - State:CA
Mailing Address - Zip Code:95472-2416
Mailing Address - Country:US
Mailing Address - Phone:707-206-2294
Mailing Address - Fax:
Practice Address - Street 1:3430 HICKS RD
Practice Address - Street 2:
Practice Address - City:SEBASTOPOL
Practice Address - State:CA
Practice Address - Zip Code:95472-2416
Practice Address - Country:US
Practice Address - Phone:707-206-2294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-02
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist