Provider Demographics
NPI:1124402748
Name:SCHMIDT, DANA CHRISTOPHER (DPT)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:CHRISTOPHER
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 COMMERCE DR STE 3
Mailing Address - Street 2:
Mailing Address - City:GRUNDY CENTER
Mailing Address - State:IA
Mailing Address - Zip Code:50638-8698
Mailing Address - Country:US
Mailing Address - Phone:319-939-5221
Mailing Address - Fax:
Practice Address - Street 1:1003 I AVE
Practice Address - Street 2:
Practice Address - City:GRUNDY CENTER
Practice Address - State:IA
Practice Address - Zip Code:50638-1144
Practice Address - Country:US
Practice Address - Phone:319-939-5221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-14
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA073938225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist