Provider Demographics
NPI:1457488108
Name:SCHROEDER, CHERYL (LMT)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7107 SWYERS RD
Mailing Address - Street 2:
Mailing Address - City:CASTILE
Mailing Address - State:NY
Mailing Address - Zip Code:14427-9620
Mailing Address - Country:US
Mailing Address - Phone:585-493-5233
Mailing Address - Fax:
Practice Address - Street 1:7107 SWYERS RD
Practice Address - Street 2:
Practice Address - City:CASTILE
Practice Address - State:NY
Practice Address - Zip Code:14427-9620
Practice Address - Country:US
Practice Address - Phone:585-493-5233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015249-1225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist