Provider Demographics
NPI:1326599556
Name:SCHUMACHER, JODI (ATC)
Entity Type:Individual
Prefix:
First Name:JODI
Middle Name:
Last Name:SCHUMACHER
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318J JOHN W PORTER BLDG
Mailing Address - Street 2:EASTERN MICHIGAN UNIVERSITY
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197
Mailing Address - Country:US
Mailing Address - Phone:734-487-2817
Mailing Address - Fax:
Practice Address - Street 1:318J JOHN W PORTER BLDG
Practice Address - Street 2:EASTERN MICHIGAN UNIVERSITY
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197
Practice Address - Country:US
Practice Address - Phone:734-487-2817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-24
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI26010006622255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer