Provider Demographics
NPI:1831339456
Name:SCHNEIDER, DANIEL A (DC)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:A
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6201 PACIFIC AVE STE B
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98408-7423
Mailing Address - Country:US
Mailing Address - Phone:253-503-3583
Mailing Address - Fax:253-276-9760
Practice Address - Street 1:6201 PACIFIC AVE SUITE B
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98023-5217
Practice Address - Country:US
Practice Address - Phone:253-503-3583
Practice Address - Fax:253-276-9760
Is Sole Proprietor?:No
Enumeration Date:2009-02-21
Last Update Date:2016-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60070223111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor