Provider Demographics
NPI:1750750212
Name:SCHABER, JESSICA (LAT, ATC)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:
Last Name:SCHABER
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:MS
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:COUCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC
Mailing Address - Street 1:2116 CHARLES DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:IN
Mailing Address - Zip Code:46131-7967
Mailing Address - Country:US
Mailing Address - Phone:317-339-6908
Mailing Address - Fax:
Practice Address - Street 1:2717 S MORGANTOWN RD
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-8537
Practice Address - Country:US
Practice Address - Phone:317-339-6908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-15
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN36001990A2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer