Healthcare Provider Details

I. General information

NPI: 1487852232
Provider Name (Legal Business Name): MRS. JENNIFER SCHUTZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

72825 HIGHWAY 283
ARAPAHOE NE
68922-2203
US

IV. Provider business mailing address

72825 HIGHWAY 283
ARAPAHOE NE
68922-2203
US

V. Phone/Fax

Practice location:
  • Phone: 308-962-7450
  • Fax:
Mailing address:
  • Phone: 308-962-7450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number700
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: