Provider Demographics
NPI:1073398012
Name:SCHMITT, AUSTIN THEODORE
Entity Type:Individual
Prefix:
First Name:AUSTIN
Middle Name:THEODORE
Last Name:SCHMITT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6512 E 45TH ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57110-6480
Mailing Address - Country:US
Mailing Address - Phone:320-226-7684
Mailing Address - Fax:
Practice Address - Street 1:2215 W PENTAGON PL
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57107-1104
Practice Address - Country:US
Practice Address - Phone:605-312-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer