Provider Demographics
NPI:1942496088
Name:SCHNEIDER, AMANDA LYNN SCHILL (MS, LAT, ATC)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:LYNN SCHILL
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MS, LAT, ATC
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:LYNN
Other - Last Name:SCHILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LAT, ATC
Mailing Address - Street 1:55 CENTRAL IOWA DR
Mailing Address - Street 2:SUITE 70
Mailing Address - City:MARSHALLTOWN
Mailing Address - State:IA
Mailing Address - Zip Code:50158-4705
Mailing Address - Country:US
Mailing Address - Phone:641-754-6120
Mailing Address - Fax:641-854-8205
Practice Address - Street 1:55 CENTRAL IOWA DR
Practice Address - Street 2:SUITE 70
Practice Address - City:MARSHALLTOWN
Practice Address - State:IA
Practice Address - Zip Code:50158-4705
Practice Address - Country:US
Practice Address - Phone:641-754-6120
Practice Address - Fax:641-854-8205
Is Sole Proprietor?:No
Enumeration Date:2007-09-22
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL960022452255A2300X
IA0006922255A2300X
NE5272255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer