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NPI Code Detail

MEDICARE: CAROL SCHMIDT LMT

MEDICARE: CAROL SCHMIDT LMT
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
1225700000XMassage TherapistMT105168TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MT105168OTHERTXSTATE ISSUED LICENSE

General Provider Information

NPI Number : 1396250825
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL SCHMIDT LMT
Provider Business Mailing Address
First Line : 737 KENSINGTON LN
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-2820
Country : US
Telephone Number : 817-225-5431
Fax Number :
Provider Business Practice Location Address
First Line : 1804 OWEN CT STE 102
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-4235
Country : US
Telephone Number : 817-225-5431
Fax Number : 817-453-9780
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2017
Last Update Date : 06/16/2018

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