Provider Demographics
NPI:1821110966
Name:SCHNELLE, LOCK LIN (ATC, LAT)
Entity Type:Individual
Prefix:MR
First Name:LOCK
Middle Name:LIN
Last Name:SCHNELLE
Suffix:
Gender:M
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1810 W 18TH ST
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:KS
Mailing Address - Zip Code:67152-8143
Mailing Address - Country:US
Mailing Address - Phone:785-410-5135
Mailing Address - Fax:
Practice Address - Street 1:100 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:KS
Practice Address - Zip Code:67156-2443
Practice Address - Country:US
Practice Address - Phone:620-229-6159
Practice Address - Fax:620-229-6380
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS005312255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer