Provider Demographics
NPI:1144880956
Name:SCHUELLER, SARAH ALECE (DPT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ALECE
Last Name:SCHUELLER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2082 SANDSTONE LOOP N
Mailing Address - Street 2:
Mailing Address - City:SARTELL
Mailing Address - State:MN
Mailing Address - Zip Code:56377-4732
Mailing Address - Country:US
Mailing Address - Phone:320-905-3406
Mailing Address - Fax:
Practice Address - Street 1:2251 CONNECTICUT AVE S STE 3600
Practice Address - Street 2:
Practice Address - City:SARTELL
Practice Address - State:MN
Practice Address - Zip Code:56377-2556
Practice Address - Country:US
Practice Address - Phone:320-259-0036
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-14
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN11553225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist