Provider Demographics
NPI:1326601097
Name:SCHMIEG, KENDRA LEIGH
Entity type:Individual
Prefix:
First Name:KENDRA
Middle Name:LEIGH
Last Name:SCHMIEG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:429 N LIBRARY ST
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IL
Mailing Address - Zip Code:62298-1126
Mailing Address - Country:US
Mailing Address - Phone:618-977-6416
Mailing Address - Fax:
Practice Address - Street 1:253 BRADINGTON DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:IL
Practice Address - Zip Code:62236-2519
Practice Address - Country:US
Practice Address - Phone:618-281-6800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-18
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist