Provider Demographics
NPI:1881999399
Name:SCHROEDER, KRISTIN COLEMAN (DPT)
Entity type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:COLEMAN
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:KRISTIN
Other - Middle Name:NOELLE
Other - Last Name:COLEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8045 SPYGLASS HILL RD
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32940-8567
Mailing Address - Country:US
Mailing Address - Phone:321-757-5515
Mailing Address - Fax:321-757-5514
Practice Address - Street 1:8045 SPYGLASS HILL RD
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-8567
Practice Address - Country:US
Practice Address - Phone:321-757-5515
Practice Address - Fax:321-757-5514
Is Sole Proprietor?:No
Enumeration Date:2011-01-13
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT26126225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist