Provider Demographics
NPI:1730203191
Name:TSCHETTER, JANE E (ATC, LAT, MED,)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:E
Last Name:TSCHETTER
Suffix:
Gender:F
Credentials:ATC, LAT, MED,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 TOMLIN ST
Mailing Address - Street 2:
Mailing Address - City:WHITEHOUSE
Mailing Address - State:TX
Mailing Address - Zip Code:75791-3436
Mailing Address - Country:US
Mailing Address - Phone:903-343-1798
Mailing Address - Fax:903-839-5505
Practice Address - Street 1:901 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WHITEHOUSE
Practice Address - State:TX
Practice Address - Zip Code:75791-3643
Practice Address - Country:US
Practice Address - Phone:903-839-5549
Practice Address - Fax:903-839-5505
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT31802255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer