Individual
TRACIE SCHROEDER
Active
Individual
TRACIE SCHROEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2134PT
MT
225100000X
Physical Therapist
7460
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15141190
CAQH
—
01
—
7460
PT LICENSE
ID
Enumeration date
05/26/2008
Last updated
03/09/2026
Update your record
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