Individual
SHELBY NICOLLE WITSCHEN SCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MIT, LAT, ATC
Contact information
Practice address
102 WOODBINE CIR, FORT WALTON BEACH, FL 32548-3538
(206) 777-5328
Mailing address
102 WOODBINE CIR, FORT WALTON BEACH, FL 32548-3538
(206) 777-5328
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL5464
FL
2255A2300X
Athletic Trainer
AT6104
TX
Other
Enumeration date
07/30/2018
Last updated
09/12/2021
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