Provider Demographics
NPI:1629720073
Name:SCHREMMER, TRENT RYAN (DC)
Entity Type:Individual
Prefix:
First Name:TRENT
Middle Name:RYAN
Last Name:SCHREMMER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:HOISINGTON
Mailing Address - State:KS
Mailing Address - Zip Code:67544-2118
Mailing Address - Country:US
Mailing Address - Phone:620-282-3347
Mailing Address - Fax:
Practice Address - Street 1:1130 WESTPORT DR STE 5
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-2863
Practice Address - Country:US
Practice Address - Phone:785-539-9113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-26
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-06171111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor