Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 083596 | IA |
Y | 213ES0000X | Sports Medicine | 083596 | IA |
NPI | 1164962890 |
---|---|
Provider Name | Rachel Marie Schmidt |
First Address | Urbandale, IA 50322-4409 |
Second Address | Council Bluffs, IA 51503-1057 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2017 |
Last Update Date | 28/02/2017 |