Provider Demographics
NPI:1073248118
Name:ABUNDANT LIVING PHYSICAL THERAPY AND WELLNESS LLC
Entity type:Organization
Organization Name:ABUNDANT LIVING PHYSICAL THERAPY AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CONNOR
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMITT
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, PT
Authorized Official - Phone:515-371-6051
Mailing Address - Street 1:1111 HOLLY DR
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:IA
Mailing Address - Zip Code:50211-1203
Mailing Address - Country:US
Mailing Address - Phone:515-371-6051
Mailing Address - Fax:
Practice Address - Street 1:1111 HOLLY DR
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:IA
Practice Address - Zip Code:50211-1203
Practice Address - Country:US
Practice Address - Phone:515-371-6051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-21
Last Update Date:2022-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty