MEDICARE: CHRISTOPHER D SCHOOLEY DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician	3902	IA
2	225100000X	Physical Therapist	03902	IA

General Provider Information

NPI Number	:	1225154750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER D SCHOOLEY DPT

Provider Business Mailing Address
First Line	:	PO BOX 1475
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50305-1475
Country	:	US
Telephone Number	:	515-222-7350
Fax Number	:	515-222-7355

Provider Business Practice Location Address
First Line	:	1601 NW 114TH ST STE 155
Second Line	:
City	:	CLIVE
State	:	IA
Zip	:	50325-7046
Country	:	US
Telephone Number	:	515-222-7350
Fax Number	:	515-222-7355

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	09/09/2021

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Directions to “ CHRISTOPHER D SCHOOLEY DPT” Practice Location

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