MEDICARE: DR. DIANA MICHELLE SCHNEIDER DPT

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
1	225100000X	Physical Therapist	5501014848	MI

General Provider Information

NPI Number	:	1124364716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DIANA MICHELLE SCHNEIDER DPT

Provider Business Mailing Address
First Line	:	3267 SCHUST RD
Second Line	:	202
City	:	SAGINAW
State	:	MI
Zip	:	48603
Country	:	US
Telephone Number	:	517-403-8068
Fax Number	:

Provider Business Practice Location Address
First Line	:	1434 W CHICAGO BLVD
Second Line	:
City	:	TECUMSEH
State	:	MI
Zip	:	49286-8727
Country	:	US
Telephone Number	:	517-424-8100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/31/2012
Last Update Date	:	12/31/2012

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