Provider Demographics
NPI:1609515238
Name:SCHUMAKER, TREVOR MATTHEW
Entity Type:Individual
Prefix:
First Name:TREVOR
Middle Name:MATTHEW
Last Name:SCHUMAKER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3120 WINSTON PL APT 8
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-6552
Mailing Address - Country:US
Mailing Address - Phone:785-817-9903
Mailing Address - Fax:
Practice Address - Street 1:3120 WINSTON PL APT 8
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-6552
Practice Address - Country:US
Practice Address - Phone:785-817-9903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-01
Last Update Date:2022-06-01
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