Individual
THERESA M SCHIMMELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
610 S SHERMAN ST, SUITE 208, SPOKANE, WA 99202-1359
(509) 838-2531
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003882
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8360422
—
WA
Enumeration date
08/24/2005
Last updated
12/10/2010
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