Individual
KYLE SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2121 W HWY 6, WACO, TX 76710-4021
(254) 845-7904
Mailing address
401 MEIER SETTLEMENT, RIESEL, TX 76682-2625
(254) 709-1336
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2123741
TX
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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