Provider Demographics
NPI:1750427415
Name:SCHROECK, NANCY C (CMT)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:C
Last Name:SCHROECK
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 CROSLEY CT
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-1975
Mailing Address - Country:US
Mailing Address - Phone:302-736-5582
Mailing Address - Fax:
Practice Address - Street 1:7 CROSLEY CT
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-1975
Practice Address - Country:US
Practice Address - Phone:302-736-5582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEMT0002130225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist