Provider Demographics
NPI:1285211698
Name:SCHMIDT, EMILIE M N (MOTR/L)
Entity Type:Individual
Prefix:
First Name:EMILIE
Middle Name:M N
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:MOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3207 VERDE VISTA CIR # 3207
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-4534
Mailing Address - Country:US
Mailing Address - Phone:630-962-6021
Mailing Address - Fax:
Practice Address - Street 1:3207 VERDE VISTA CIR # 3207
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-4534
Practice Address - Country:US
Practice Address - Phone:630-962-6021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-24
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13961225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist