MEDICARE: JULIENNE SCHNETTLER OTR/L

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	225X00000X	Occupational Therapist	5201007519	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427280270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIENNE SCHNETTLER OTR/L

Provider Business Mailing Address
First Line	:	1691 E US 23 STE 4
Second Line	:
City	:	EAST TAWAS
State	:	MI
Zip	:	48730-9337
Country	:	US
Telephone Number	:	989-479-7550
Fax Number	:

Provider Business Practice Location Address
First Line	:	1691 E US 23 STE 4
Second Line	:
City	:	EAST TAWAS
State	:	MI
Zip	:	48730-9337
Country	:	US
Telephone Number	:	989-479-7550
Fax Number	:	989-702-2260

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

Provider Enumeration Date	:	08/12/2009
Last Update Date	:	05/12/2022

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