Healthcare Provider Details

I. General information

NPI: 1275429433
Provider Name (Legal Business Name): HAILEY SCHUMACHER OTD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 11TH ST E
BOTTINEAU ND
58318-1855
US

IV. Provider business mailing address

909 11TH ST E
BOTTINEAU ND
58318-1855
US

V. Phone/Fax

Practice location:
  • Phone: 701-228-2275
  • Fax: 701-228-3080
Mailing address:
  • Phone: 701-227-2275
  • Fax: 701-228-3080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number2331
License Number StateND
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT-1878LL
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: