=====================================================
General NPI Number Information
=====================================================
NPI Number | 1376692418
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARIA KATHRYN SCHAFER D.C.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/09/2007
-----------------------------------------------------
Last Update Date | 01/28/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2315 TECHNOLOGY DR SUITE 107
-----------------------------------------------------
City | O FALLON
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63368-7370
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 636-561-7774
-----------------------------------------------------
Fax | 636-625-8007
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8245 BOONE BLVD STE 110
-----------------------------------------------------
City | VIENNA
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22182-3813
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 703-356-8721
-----------------------------------------------------
Fax | 703-356-8722
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 2005000400
-----------------------------------------------------
License Number State | MO
-----------------------------------------------------