Healthcare Provider Details

I. General information

NPI: 1124982624
Provider Name (Legal Business Name): SARAH SCHNEIDER LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH WALTMAN LMT

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

716 16TH ST
GREELEY CO
80631-5616
US

IV. Provider business mailing address

937 W UNION AVE
LA SALLE CO
80645-3095
US

V. Phone/Fax

Practice location:
  • Phone: 970-573-6490
  • Fax:
Mailing address:
  • Phone: 970-573-6490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT.0018284
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: