Individual
MR. MARK SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
17000 KAPALAMA RD., SUITE, PASS CHRISTIAN, MS 39571
(228) 255-6868
(228) 255-6860
Mailing address
17000 KAPALAMA RD., SUITE B, PASS CHRISTIAN, MS 39571
(228) 255-6868
(228) 255-6860
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2895
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120984
—
MS
Enumeration date
07/05/2006
Last updated
02/18/2013
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