MEDICARE: JENNIFER KAY SCHNEPP P.T.

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	2251S0007X	Sports Physical Therapist	1171443	TX
2	2251P0200X	Pediatric Physical Therapist	1171443	TX

General Provider Information

NPI Number	:	1851622385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER KAY SCHNEPP P.T.

Provider Business Mailing Address
First Line	:	13907 LAKE MICHIGAN AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77044-6290
Country	:	US
Telephone Number	:	832-233-1974
Fax Number	:

Provider Business Practice Location Address
First Line	:	13907 LAKE MICHIGAN AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77044-6290
Country	:	US
Telephone Number	:	832-233-1974
Fax Number	:

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

Provider Enumeration Date	:	01/22/2010
Last Update Date	:	08/03/2015

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