Individual
THOMAS A SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
US HWY 491 NORTH, SHIPROCK, NM 87420
(505) 368-6401
(505) 368-6431
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6401
(505) 368-6431
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3255
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06978827
—
NM
05
—
116773
—
AZ
05
—
93504276
—
CO
Enumeration date
08/22/2006
Last updated
02/05/2008
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