MEDICARE: LISA MARIE SCHIFF

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	109187-4201	UT

General Provider Information

NPI Number	:	1861138893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA MARIE SCHIFF

Provider Business Mailing Address
First Line	:	1528 E SAINT MARKS CT
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84124-1530
Country	:	US
Telephone Number	:	801-557-4076
Fax Number	:

Provider Business Practice Location Address
First Line	:	4522 S 1300 E
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84117-4177
Country	:	US
Telephone Number	:	385-743-2171
Fax Number	:

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

Provider Enumeration Date	:	05/11/2022
Last Update Date	:	05/11/2022

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Directions to “ LISA MARIE SCHIFF ” Practice Location

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