Provider Demographics
NPI:1548444342
Name:SCHRODER, LAURIE A (PT)
Entity type:Individual
Prefix:
First Name:LAURIE
Middle Name:A
Last Name:SCHRODER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1840 OAK PLAINS RD
Mailing Address - Street 2:
Mailing Address - City:ASHLAND CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37015-9109
Mailing Address - Country:US
Mailing Address - Phone:931-362-4389
Mailing Address - Fax:
Practice Address - Street 1:610 GRACEY AVE
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-4013
Practice Address - Country:US
Practice Address - Phone:931-338-9519
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-28
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000004710225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist