Healthcare Provider Details

I. General information

NPI: 1043646086
Provider Name (Legal Business Name): HEIDI MARIE SCHAUSS PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HEIDI MARIE MUNICH PT

II. Dates (important events)

Enumeration Date: 09/23/2013
Last Update Date: 09/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

671 COLUMBIA RD SUITE 2
WESTLAKE OH
44145-1477
US

IV. Provider business mailing address

33308 ELECTRIC BLVD
AVON LAKE OH
44012-1216
US

V. Phone/Fax

Practice location:
  • Phone: 440-250-8895
  • Fax: 440-250-8854
Mailing address:
  • Phone: 440-933-3858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number7479
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: