| Organization Name: | SCHABEL PERFORMANCE HEALTH & WELLNESS LLC |
| NPI Number: | 1083054266 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NICHOLUS SCHABEL (OWNER) |
| Mailing Address: | 13342 Pawnee St Leawood |
| State: | KS US |
| Postal Code: | 662093348 |
| Phone Number: | 9133454840 |
| Fax Number: | 9133454842 |
| NPI Enumeration Date: | 07/02/2013 |
| NPI Last Update Date: | 02/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 01-05551 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |