Healthcare Provider Details

I. General information

NPI: 1902321086
Provider Name (Legal Business Name): ASHLEY SCHELLING DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY MELDRUM DPT

II. Dates (important events)

Enumeration Date: 08/09/2017
Last Update Date: 07/09/2024
Certification Date: 07/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 LIBERTY ST STE 227
PELLA IA
50219-1776
US

IV. Provider business mailing address

604 LIBERTY ST STE 227
PELLA IA
50219-1776
US

V. Phone/Fax

Practice location:
  • Phone: 641-621-0230
  • Fax: 641-621-0319
Mailing address:
  • Phone: 641-204-0046
  • Fax: 641-638-5710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number119310
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: