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General NPI Number Information
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NPI Number | 1124507033
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Entity Type | Individual
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Provider Name | IAN SCHNEIDER
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Gender | Male
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Dates
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Enumeration Date | 08/10/2018
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Last Update Date | 12/24/2018
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Provider Practice Location Address
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Address Line | 3155 AVENUE C
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City | BILLINGS
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State | MT
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Zip | 59102-8109
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Country | US
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Telephone | 406-656-8818
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Fax |
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Provider Business Mailing Address
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Address Line | 810 NUTTER BLVD
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City | BILLINGS
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State | MT
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Zip | 59105-2328
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Country | US
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Telephone | 406-419-8549
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 009819
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTP-OTA-LIC-6122
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License Number State | MT
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