Individual
DANIELLE SCHOENBACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, LATC, PES
Contact information
Practice address
600 SMILEY ST, O'FALLON, IL 62269
(618) 318-6847
Mailing address
PO BOX 52, TAMAROA, IL 62888-0052
(618) 318-6847
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000030838
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S512-1619-5652
DRIVER'S LICENSE
IL
Enumeration date
07/14/2022
Last updated
07/14/2022
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