Provider Demographics
NPI:1497164313
Name:SCHROEDER, ERIN ASHLEY (LMP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:ASHLEY
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4423 S BURKHART DR
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98409-1420
Mailing Address - Country:US
Mailing Address - Phone:636-544-8151
Mailing Address - Fax:
Practice Address - Street 1:4423 S BURKHART DR
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-1420
Practice Address - Country:US
Practice Address - Phone:636-544-8151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-05
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60483604225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist