Provider Demographics
NPI:1053324236
Name:SCHROEDER, RENEE JEAN (DPT, PT)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:JEAN
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:DPT, PT
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:JEAN
Other - Last Name:VOPAT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8639 WINE LEAF CV
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38139-4443
Mailing Address - Country:US
Mailing Address - Phone:901-319-7272
Mailing Address - Fax:
Practice Address - Street 1:5959 PARK AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-5200
Practice Address - Country:US
Practice Address - Phone:501-257-6407
Practice Address - Fax:501-257-6419
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2011-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT 2425225100000X
TN8985225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist