MEDICARE: WILLIAM SCHNELL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	2002001641	MO

General Provider Information

NPI Number	:	1700254554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM SCHNELL

Provider Business Mailing Address
First Line	:	4307 CHERYL CT
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65203-6523
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4307 CHERYL CT
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65203-6523
Country	:	US
Telephone Number	:	573-808-5305
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2015
Last Update Date	:	09/10/2015

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Directions to “ WILLIAM SCHNELL ” Practice Location

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