Provider Demographics
NPI:1689140980
Name:SCHROEDER, BRIANNE KERRY (DC; MSACN)
Entity Type:Individual
Prefix:
First Name:BRIANNE
Middle Name:KERRY
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:DC; MSACN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4841 WILLIAMS DR STE 110C
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78633-2006
Mailing Address - Country:US
Mailing Address - Phone:518-929-0707
Mailing Address - Fax:
Practice Address - Street 1:4841 WILLIAMS DR STE 110C
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78633-2006
Practice Address - Country:US
Practice Address - Phone:518-929-0707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-15
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13913111N00000X
NY133N00000X
FL12870111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No133N00000XDietary & Nutritional Service ProvidersNutritionist