Healthcare Provider Details

I. General information

NPI: 1407056567
Provider Name (Legal Business Name): TERESA L. SCHUEMANN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2007
Last Update Date: 01/04/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15850 STELLER RIDGE RD
LOVELAND CO
80538-9176
US

IV. Provider business mailing address

15850 STELLER RIDGE RD
LOVELAND CO
80538-9176
US

V. Phone/Fax

Practice location:
  • Phone: 970-402-1682
  • Fax:
Mailing address:
  • Phone: 970-402-1682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License NumberPTL-5317
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPTL-5317
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License NumberAT.0000634
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: