Provider Demographics
NPI:1922507888
Name:SCHWARTZ, STEPHANIE CHRISTINE (ATC, LAT, MS, ITAT)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:CHRISTINE
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:ATC, LAT, MS, ITAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4915 MONTCLAIR DR NW
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52405-2829
Mailing Address - Country:US
Mailing Address - Phone:815-210-2668
Mailing Address - Fax:
Practice Address - Street 1:3235 WILLIAMS PKWY SW
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52404-1427
Practice Address - Country:US
Practice Address - Phone:319-366-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-06
Last Update Date:2018-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0876332255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer