Individual
MR. SEAN PATRICK SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C., CSCS, PTA
Contact information
Practice address
1013 E IOWA AVE, INDIANOLA, IA 50125-1511
(816) 509-8715
Mailing address
1013 E IOWA AVE, INDIANOLA, IA 50125-1511
(816) 509-8715
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001494
IA
225200000X
Physical Therapy Assistant
14-01954
KS
2255A2300X
Athletic Trainer
000871
IA
2255A2300X
Athletic Trainer
118165
MO
Other
Enumeration date
06/27/2006
Last updated
11/07/2010
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