Provider Demographics
NPI:1811680325
Name:SCHLINSOG, AMBER ROSE (LAT, ATC)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:ROSE
Last Name:SCHLINSOG
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:ROSE
Other - Last Name:DEDOMING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAT, ATC
Mailing Address - Street 1:1910 JAKE ALEXANDER BLVD W STE 202
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28147-1165
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1910 JAKE ALEXANDER BLVD W STE 202
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28147-1165
Practice Address - Country:US
Practice Address - Phone:704-603-1450
Practice Address - Fax:704-603-1542
Is Sole Proprietor?:No
Enumeration Date:2023-05-31
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLAT-25192255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer