Provider Demographics
NPI:1053904920
Name:SCHEEL, JEANNIE M (CMT)
Entity type:Individual
Prefix:
First Name:JEANNIE
Middle Name:M
Last Name:SCHEEL
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:JEANNIE
Other - Middle Name:MORGAN
Other - Last Name:SCHEEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CMT
Mailing Address - Street 1:898 LEXINGTON DR
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93906-4461
Mailing Address - Country:US
Mailing Address - Phone:831-970-2757
Mailing Address - Fax:
Practice Address - Street 1:344 SALINAS ST STE 105I
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2718
Practice Address - Country:US
Practice Address - Phone:831-970-2757
Practice Address - Fax:831-204-9257
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-11
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA82961225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty