Provider Demographics
NPI:1912301276
Name:SCHMIDT, CAYENNE M (ATC, MS, CSCS)
Entity Type:Individual
Prefix:MRS
First Name:CAYENNE
Middle Name:M
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:ATC, MS, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3944 MOUNT BAKER ST
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:CO
Mailing Address - Zip Code:80549-2240
Mailing Address - Country:US
Mailing Address - Phone:970-217-6343
Mailing Address - Fax:
Practice Address - Street 1:3944 MOUNT BAKER ST
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:CO
Practice Address - Zip Code:80549-2240
Practice Address - Country:US
Practice Address - Phone:970-217-6343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-15
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00005242255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer