Healthcare Provider Details

I. General information

NPI: 1952496515
Provider Name (Legal Business Name): LYNN C SCHMITT P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 08/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 HUPPENTHAL DR
SCHERERVILLE IN
46375-3005
US

IV. Provider business mailing address

1840 HUPPENTHAL DR
SCHERERVILLE IN
46375-3005
US

V. Phone/Fax

Practice location:
  • Phone: 219-306-1774
  • Fax: 219-322-6025
Mailing address:
  • Phone: 219-306-1774
  • Fax: 219-322-6025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number05002931A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: