Provider Demographics
NPI:1225553514
Name:SCHUMANN, CONRAD BERND (MS, ATC)
Entity Type:Individual
Prefix:
First Name:CONRAD
Middle Name:BERND
Last Name:SCHUMANN
Suffix:
Gender:M
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4610 N ARMENIA AVE APT 621
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33603-2727
Mailing Address - Country:US
Mailing Address - Phone:309-863-1331
Mailing Address - Fax:
Practice Address - Street 1:1 BUCCANEER PL
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-5701
Practice Address - Country:US
Practice Address - Phone:813-870-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-08
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program