Provider Demographics
NPI:1629200324
Name:SCHNABL, RHONDA (PT)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:SCHNABL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3497
Mailing Address - Street 2:
Mailing Address - City:STURTEVANT
Mailing Address - State:WI
Mailing Address - Zip Code:53177-0300
Mailing Address - Country:US
Mailing Address - Phone:877-552-2996
Mailing Address - Fax:866-245-8064
Practice Address - Street 1:2505 HUALAPAI MOUNTAIN RD
Practice Address - Street 2:SUITE E
Practice Address - City:KINGMAN
Practice Address - State:AZ
Practice Address - Zip Code:86401-5445
Practice Address - Country:US
Practice Address - Phone:928-718-4300
Practice Address - Fax:866-245-8064
Is Sole Proprietor?:No
Enumeration Date:2009-08-13
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7334225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00741944OtherRAILROAD MEDICARE
AZZ131885Medicare PIN