Provider Demographics
NPI:1043502420
Name:SCHUTTERA, STEPHANIE SUE (MA IN ACUPUNCTURE)
Entity type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:SUE
Last Name:SCHUTTERA
Suffix:
Gender:F
Credentials:MA IN ACUPUNCTURE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1709 SW RANDOLPH AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-3155
Mailing Address - Country:US
Mailing Address - Phone:785-554-7558
Mailing Address - Fax:
Practice Address - Street 1:1709 SW RANDOLPH AVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-3155
Practice Address - Country:US
Practice Address - Phone:785-554-7558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-04
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist