Provider Demographics
NPI:1730141961
Name:SCHWOMEYER, JENNIFER REIHM (DPT)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:REIHM
Last Name:SCHWOMEYER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:JENNIFER
Other - Middle Name:TYLER
Other - Last Name:REIHM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:175 S UNION BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80910-3113
Mailing Address - Country:US
Mailing Address - Phone:719-473-3332
Mailing Address - Fax:719-365-1910
Practice Address - Street 1:175 S UNION BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80910-3113
Practice Address - Country:US
Practice Address - Phone:719-473-3332
Practice Address - Fax:719-365-1910
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO11557225100000X
DEJ10002005225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE017562S11Medicare ID - Type Unspecified