Provider Demographics
NPI:1962531368
Name:SCHOEN, MARK STEVEN (ATC, CSCS)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:STEVEN
Last Name:SCHOEN
Suffix:
Gender:M
Credentials:ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8708 WILLOW CREEK CT
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-6561
Mailing Address - Country:US
Mailing Address - Phone:941-685-4393
Mailing Address - Fax:
Practice Address - Street 1:8708 WILLOW CREEK CT
Practice Address - Street 2:
Practice Address - City:WAXHAW
Practice Address - State:NC
Practice Address - Zip Code:28173-6561
Practice Address - Country:US
Practice Address - Phone:941-955-6501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-04
Last Update Date:2020-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL21612255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer