Provider Demographics
NPI:1861732489
Name:SCHEXNAILDRE, MARY KATELYN (MOT/LOTR)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:KATELYN
Last Name:SCHEXNAILDRE
Suffix:
Gender:F
Credentials:MOT/LOTR
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:KATELYN
Other - Last Name:CHOP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MOT/LOTR
Mailing Address - Street 1:601 HATCHELL LN
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70726-3015
Mailing Address - Country:US
Mailing Address - Phone:225-380-1894
Mailing Address - Fax:225-380-1896
Practice Address - Street 1:601 HATCHELL LN
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-3015
Practice Address - Country:US
Practice Address - Phone:225-380-1894
Practice Address - Fax:225-380-1896
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-19
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA301176225X00000X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist