Provider Demographics
NPI:1184033045
Name:SCHEMSTAD, ANNA (LMP)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:SCHEMSTAD
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 HARRIS AVE STE 308
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-7144
Mailing Address - Country:US
Mailing Address - Phone:360-393-3119
Mailing Address - Fax:360-523-2342
Practice Address - Street 1:1200 HARRIS AVE STE 308
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-7144
Practice Address - Country:US
Practice Address - Phone:360-393-3119
Practice Address - Fax:360-526-2342
Is Sole Proprietor?:No
Enumeration Date:2014-08-05
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 60479803225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist