Healthcare Provider Details

I. General information

NPI: 1376751180
Provider Name (Legal Business Name): KAY T. SCHNELL OTR PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1726 SHAWANO AVE
GREEN BAY WI
54303-3216
US

IV. Provider business mailing address

1620 MARIE LN
GREEN BAY WI
54313-2401
US

V. Phone/Fax

Practice location:
  • Phone: 920-498-4200
  • Fax:
Mailing address:
  • Phone: 920-209-9455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number2707-026
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number885-019
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number2707-26
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: