Provider Demographics
NPI:1134304439
Name:SCHOEPPNER, PEGGY ANN (PHYSICAL THERAPY AST)
Entity Type:Individual
Prefix:MS
First Name:PEGGY
Middle Name:ANN
Last Name:SCHOEPPNER
Suffix:
Gender:F
Credentials:PHYSICAL THERAPY AST
Other - Prefix:
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Mailing Address - Street 1:85 PLEASANT DRIVE
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:MN
Mailing Address - Zip Code:55033
Mailing Address - Country:US
Mailing Address - Phone:651-480-4168
Mailing Address - Fax:651-480-4339
Practice Address - Street 1:85 PLEASANT DRIVE
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:MN
Practice Address - Zip Code:55033
Practice Address - Country:US
Practice Address - Phone:651-480-4168
Practice Address - Fax:651-480-4339
Is Sole Proprietor?:No
Enumeration Date:2008-01-04
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
225200000X
MNA636225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant