MEDICARE: DEBORA ANN SCHELLER LMT

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	225700000X	Massage Therapist	MT-12575	AZ

General Provider Information

NPI Number	:	1639468481
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORA ANN SCHELLER LMT

Provider Business Mailing Address
First Line	:	1329 W SACK DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85027-5450
Country	:	US
Telephone Number	:	602-380-3193
Fax Number	:

Provider Business Practice Location Address
First Line	:	13231 N 35TH AVE
Second Line	:	#A-6
City	:	PHOENIX
State	:	AZ
Zip	:	85029-1233
Country	:	US
Telephone Number	:	602-380-3193
Fax Number	:

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

Provider Enumeration Date	:	04/01/2011
Last Update Date	:	07/11/2011

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Directions to “ DEBORA ANN SCHELLER LMT” Practice Location

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