Provider Demographics
NPI:1336300268
Name:SCHNURR, MARK ALAN (PT, RD, CSCS)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:ALAN
Last Name:SCHNURR
Suffix:
Gender:M
Credentials:PT, RD, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 HICKORY RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD
Mailing Address - State:IA
Mailing Address - Zip Code:51534-5409
Mailing Address - Country:US
Mailing Address - Phone:402-659-2694
Mailing Address - Fax:
Practice Address - Street 1:1420 N 10TH ST
Practice Address - Street 2:
Practice Address - City:NEBRASKA CITY
Practice Address - State:NE
Practice Address - Zip Code:68410-1236
Practice Address - Country:US
Practice Address - Phone:402-873-3304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA03163225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist