Provider Demographics
NPI:1710714811
Name:SCHRODER, LEXI SKYE (PTA)
Entity type:Individual
Prefix:
First Name:LEXI
Middle Name:SKYE
Last Name:SCHRODER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:ONEILL
Mailing Address - State:NE
Mailing Address - Zip Code:68763-1814
Mailing Address - Country:US
Mailing Address - Phone:402-336-1899
Mailing Address - Fax:402-336-1350
Practice Address - Street 1:118 S 4TH ST
Practice Address - Street 2:
Practice Address - City:ONEILL
Practice Address - State:NE
Practice Address - Zip Code:68763-1814
Practice Address - Country:US
Practice Address - Phone:402-336-1899
Practice Address - Fax:402-336-1350
Is Sole Proprietor?:No
Enumeration Date:2024-09-14
Last Update Date:2024-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE21262251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic