Individual
SHARON KATHERINE SCHMIDTBAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2050 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-4108
(763) 236-6000
Mailing address
18650 NOWTHEN BLVD NW, ANOKA, MN 55303-9651
(763) 753-6596
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A979
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A979
BOARD OF PHYSICAL THERAPY
MN
Enumeration date
04/13/2011
Last updated
04/13/2011
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