Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 60181685 | WA |
NPI | 1134476575 |
---|---|
Provider Name | Kenneth Eugene Schnell |
First Address | Olympia, WA 98506-6927 |
Second Address | Olympia, WA 98506-6927 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2012 |
Last Update Date | 03/08/2012 |