Provider Demographics
NPI:1518330372
Name:SCHROEDER, CHELSY RENEE (CPTA)
Entity Type:Individual
Prefix:MS
First Name:CHELSY
Middle Name:RENEE
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:CPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 TOPEKA ST
Mailing Address - Street 2:
Mailing Address - City:LARNED
Mailing Address - State:KS
Mailing Address - Zip Code:67550-2651
Mailing Address - Country:US
Mailing Address - Phone:785-443-1693
Mailing Address - Fax:
Practice Address - Street 1:919 TOPEKA ST
Practice Address - Street 2:
Practice Address - City:LARNED
Practice Address - State:KS
Practice Address - Zip Code:67550-2651
Practice Address - Country:US
Practice Address - Phone:785-443-1693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-02
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS14-02778225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant