Provider Demographics
NPI:1710281423
Name:SCHILD, DANA JEAN
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:JEAN
Last Name:SCHILD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 E US HIGHWAY 69
Mailing Address - Street 2:
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75021-6510
Mailing Address - Country:US
Mailing Address - Phone:903-465-2438
Mailing Address - Fax:903-463-3741
Practice Address - Street 1:601 E US HIGHWAY 69
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75021-6510
Practice Address - Country:US
Practice Address - Phone:903-465-2438
Practice Address - Fax:903-463-3741
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-10
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2075087225200000X
OK1852225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant