Provider Demographics
NPI:1538547575
Name:SCHIMANSKI, TRISTIN R (PT, MHA)
Entity type:Individual
Prefix:MRS
First Name:TRISTIN
Middle Name:R
Last Name:SCHIMANSKI
Suffix:
Gender:F
Credentials:PT, MHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1380 E DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:DIAMOND
Mailing Address - State:IL
Mailing Address - Zip Code:60416-9785
Mailing Address - Country:US
Mailing Address - Phone:815-634-0757
Mailing Address - Fax:
Practice Address - Street 1:1380 E DIVISION ST
Practice Address - Street 2:
Practice Address - City:DIAMOND
Practice Address - State:IL
Practice Address - Zip Code:60416-9785
Practice Address - Country:US
Practice Address - Phone:815-634-0757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-11
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.008295225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist