Healthcare Provider Details

I. General information

NPI: 1659584134
Provider Name (Legal Business Name): TRISHA LYNN SCHAUER OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

551 4TH ST NORTH SUITE 101
WINSTED MN
55395
US

IV. Provider business mailing address

373 4TH ST SW
DELANO MN
55328-4558
US

V. Phone/Fax

Practice location:
  • Phone: 320-485-3137
  • Fax: 320-485-3158
Mailing address:
  • Phone: 612-702-1359
  • Fax: 320-485-3158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number103156
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: