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NPI Code Detail

MEDICARE: JESSICA SCHMITT

MEDICARE: JESSICA SCHMITT
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
1224Z00000XOccupational Therapy Assistant931NE

General Provider Information

NPI Number : 1174932461
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA SCHMITT
Provider Business Mailing Address
First Line : 25117 SW PARKWAY AVE STE D
Second Line :
City : WILSONVILLE
State : OR
Zip : 97070-9697
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 410 W 5TH ST
Second Line :
City : LOUISVILLE
State : NE
Zip : 68037-6006
Country : US
Telephone Number : 402-234-2125
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2014
Last Update Date : 08/12/2014

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Directions to “ JESSICA SCHMITT ” Practice Location

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