Provider Demographics
NPI:1679211643
Name:SCHNEIDER, ALAINA RAE (ATC)
Entity Type:Individual
Prefix:
First Name:ALAINA
Middle Name:RAE
Last Name:SCHNEIDER
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 1:710 NW 60 RD
Mailing Address - Street 2:
Mailing Address - City:OLMITZ
Mailing Address - State:KS
Mailing Address - Zip Code:67564-8538
Mailing Address - Country:US
Mailing Address - Phone:620-923-5985
Mailing Address - Fax:
Practice Address - Street 1:710 NW 60 RD
Practice Address - Street 2:
Practice Address - City:OLMITZ
Practice Address - State:KS
Practice Address - Zip Code:67564-8538
Practice Address - Country:US
Practice Address - Phone:620-923-5985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-20
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer