Provider Demographics
NPI:1184703605
Name:SCHWAB, STEVEN L (RPT)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:L
Last Name:SCHWAB
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2886 SOUTHERN HILLS DR
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64804-5622
Mailing Address - Country:US
Mailing Address - Phone:417-624-2776
Mailing Address - Fax:
Practice Address - Street 1:JAY REHABILITATION SERVICES, LLC,2610 S. OZARK AVE.
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-3182
Practice Address - Country:US
Practice Address - Phone:417-659-9948
Practice Address - Fax:417-659-8800
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO02022225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist