Provider Demographics
NPI:1184221475
Name:SCHROEDER, LAURAN (DPT)
Entity Type:Individual
Prefix:DR
First Name:LAURAN
Middle Name:
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:LAURAN
Other - Middle Name:
Other - Last Name:HELLBUSCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:2502 CAPITOL ST
Mailing Address - Street 2:
Mailing Address - City:YANKTON
Mailing Address - State:SD
Mailing Address - Zip Code:57078-4870
Mailing Address - Country:US
Mailing Address - Phone:402-942-4108
Mailing Address - Fax:
Practice Address - Street 1:801 SUMMIT ST
Practice Address - Street 2:
Practice Address - City:YANKTON
Practice Address - State:SD
Practice Address - Zip Code:57078-3338
Practice Address - Country:US
Practice Address - Phone:605-665-3861
Practice Address - Fax:605-665-3866
Is Sole Proprietor?:No
Enumeration Date:2020-10-08
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN12071225100000X
SD2395225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist