Individual
JOHN A SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
33501 1ST WAY S, FEDERAL WAY, WA 98003-6208
(253) 838-2400
Mailing address
1100 OLIVE WAY MSC M4-PA, SEATTLE, WA 98101-1873
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00002989
WA
2255A2300X
Athletic Trainer
PT00002989
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035985
LABOR AND INDUSTRIES #
WA
05
—
8385718
—
WA
01
—
P00106512
RAILROAD MEDICARE
WA
01
—
SC2140
BLUE SHIELD #
WA
01
—
US1048093
AETNA SPECIALIST PIN
WA
Enumeration date
02/05/2007
Last updated
04/08/2008
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