Provider Demographics
NPI:1396920542
Name:SCHEIDEGGER, ROBERT IRA III (ATC)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:IRA
Last Name:SCHEIDEGGER
Suffix:III
Gender:M
Credentials:ATC
Other - Prefix:
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Mailing Address - Street 1:ATHLETIC TRAINING ROOM
Mailing Address - Street 2:GRAVES BLDG BOX 354070
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-4070
Mailing Address - Country:US
Mailing Address - Phone:206-543-2239
Mailing Address - Fax:206-685-3521
Practice Address - Street 1:3950 MONTLAKE AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-0001
Practice Address - Country:US
Practice Address - Phone:206-543-2239
Practice Address - Fax:206-685-3521
Is Sole Proprietor?:No
Enumeration Date:2008-01-07
Last Update Date:2008-01-07
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer