Provider Demographics
NPI:1881300127
Name:SCHMITTER, SHEILAH (DPT)
Entity type:Individual
Prefix:
First Name:SHEILAH
Middle Name:
Last Name:SCHMITTER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:SHEILAH
Other - Middle Name:
Other - Last Name:HALLMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:33900 HARPER AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48035-4258
Mailing Address - Country:US
Mailing Address - Phone:586-350-2644
Mailing Address - Fax:586-323-0022
Practice Address - Street 1:5438 METRO PKWY
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-4103
Practice Address - Country:US
Practice Address - Phone:586-276-9776
Practice Address - Fax:586-354-2480
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501302410225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5501302410OtherPHYISCAL THERAPY LICENSE