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NPI Code Detail

MEDICARE: KILEY MARIE SCHNECK

MEDICARE: KILEY MARIE SCHNECK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist5501304235MI

General Provider Information

NPI Number : 1114878675
Entity Type Code : Individual
Provider Name (Legal Business Name) : KILEY MARIE SCHNECK
Provider Business Mailing Address
First Line : 933 NORCROSS DR
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-4289
Country : US
Telephone Number : 248-920-6967
Fax Number :
Provider Business Practice Location Address
First Line : 39312 WOODWARD AVE
Second Line :
City : BLOOMFIELD HILLS
State : MI
Zip : 48304-5007
Country : US
Telephone Number : 248-644-5522
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “ KILEY MARIE SCHNECK ” Practice Location

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