Individual
JESSICA SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1186 APPLETON RD, MENASHA, WI 54952-1906
(920) 727-8700
Mailing address
PO BOX 359, MENASHA, WI 54952-0359
(920) 727-8700
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
828-39
WI
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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