Individual
JOHN A SCHROEDER
Active
Individual
JOHN A SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
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
Update your record
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