Healthcare Provider Details

I. General information

NPI: 1417885567
Provider Name (Legal Business Name): LISA A SCHEUNEMANN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

241 17TH AVE S
WISCONSIN RAPIDS WI
54495-2408
US

IV. Provider business mailing address

7531 NORTH RD
ARPIN WI
54410-9632
US

V. Phone/Fax

Practice location:
  • Phone: 715-459-1231
  • Fax:
Mailing address:
  • Phone: 715-459-1231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number4310-26
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: