Healthcare Provider Details

I. General information

NPI: 1366394603
Provider Name (Legal Business Name): ANTHONY KEVIN SCHELIN LMT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/10/2026
Last Update Date: 02/10/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3020 SEVEN LAKES DRIVE
BEAR MOUNTAIN NY
10911
US

IV. Provider business mailing address

352 DOWNS RD
MONTICELLO NY
12701-3336
US

V. Phone/Fax

Practice location:
  • Phone: 845-202-0097
  • Fax:
Mailing address:
  • Phone: 845-202-0097
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number028071
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: