Healthcare Provider Details

I. General information

NPI: 1255719308
Provider Name (Legal Business Name): JENNY BIRD SCHINDLER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNY BIRD

II. Dates (important events)

Enumeration Date: 05/09/2015
Last Update Date: 12/03/2024
Certification Date: 12/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 STOCKTON BLVD STE 103
SACRAMENTO CA
95816-7098
US

IV. Provider business mailing address

PO BOX 255228
SACRAMENTO CA
95865-5228
US

V. Phone/Fax

Practice location:
  • Phone: 916-262-9040
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number42403
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: