Provider Demographics
NPI:1720706971
Name:SCHOON, SARAH (LAT, ATC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:SCHOON
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 E 4TH ST APT 3
Mailing Address - Street 2:
Mailing Address - City:WEST LIBERTY
Mailing Address - State:IA
Mailing Address - Zip Code:52776-1455
Mailing Address - Country:US
Mailing Address - Phone:563-219-5735
Mailing Address - Fax:
Practice Address - Street 1:1405 N ELM ST STE 101
Practice Address - Street 2:
Practice Address - City:WEST LIBERTY
Practice Address - State:IA
Practice Address - Zip Code:52776-1030
Practice Address - Country:US
Practice Address - Phone:319-627-6809
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-15
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0838802255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer