Provider Demographics
NPI:1578592911
Name:SCHOONOVER, HOLLI CHRISTINE (CERTIFIED ATHLETIC T)
Entity Type:Individual
Prefix:MRS
First Name:HOLLI
Middle Name:CHRISTINE
Last Name:SCHOONOVER
Suffix:
Gender:F
Credentials:CERTIFIED ATHLETIC T
Other - Prefix:
Other - First Name:HOLLI
Other - Middle Name:CHRISTINE
Other - Last Name:COOPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CERTIFIED ATHLETIC T
Mailing Address - Street 1:4430 WEST HOWE RD
Mailing Address - Street 2:
Mailing Address - City:DEWITT
Mailing Address - State:MI
Mailing Address - Zip Code:48820
Mailing Address - Country:US
Mailing Address - Phone:616-283-0167
Mailing Address - Fax:
Practice Address - Street 1:220 SMOKY CROSSING WAY
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:TN
Practice Address - Zip Code:37865-5072
Practice Address - Country:US
Practice Address - Phone:616-283-0167
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2018-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2255A2300X
MI26010001462255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer