Healthcare Provider Details

I. General information

NPI: 1609437862
Provider Name (Legal Business Name): KAYLIN SCHNEIDER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2019
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 COLLEGE RD
FAIRBANKS AK
99701-1749
US

IV. Provider business mailing address

19 COLLEGE RD
FAIRBANKS AK
99701-1749
US

V. Phone/Fax

Practice location:
  • Phone: 907-458-5670
  • Fax:
Mailing address:
  • Phone: 907-458-5670
  • Fax: 907-458-3071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT6719
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number213006
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: