Provider Demographics
NPI:1861731333
Name:SCHMIDT, LYNN SHARON (MS, PT PHYSICAL)
Entity type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:SHARON
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:MS, PT PHYSICAL
Other - Prefix:MRS
Other - First Name:LYNN
Other - Middle Name:SHARON
Other - Last Name:GOLDHAMMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT PHYSICAL THERAP
Mailing Address - Street 1:9401 SHARON DRIVE MUKILTEO SCHOOL DISTRICT
Mailing Address - Street 2:ADMIN. CENTER, SPECIAL EDUCATION
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204
Mailing Address - Country:US
Mailing Address - Phone:425-356-1277
Mailing Address - Fax:425-356-1279
Practice Address - Street 1:10520 HARBOUR POINTE BLVD
Practice Address - Street 2:COLUMBIA ELEMENTARY SCHOOL - MSD #6
Practice Address - City:MUKILTEO
Practice Address - State:WA
Practice Address - Zip Code:98275
Practice Address - Country:US
Practice Address - Phone:425-366-2635
Practice Address - Fax:425-366-2602
Is Sole Proprietor?:No
Enumeration Date:2013-02-04
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00000887225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist