Provider Demographics
NPI:1316173388
Name:SCHROER, MICHELLE KAY (PTA)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:KAY
Last Name:SCHROER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 BIELEFELD ST
Mailing Address - Street 2:
Mailing Address - City:NEW KNOXVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45871-8705
Mailing Address - Country:US
Mailing Address - Phone:419-394-3335
Mailing Address - Fax:
Practice Address - Street 1:200 SAINT CLAIR AVE
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:OH
Practice Address - Zip Code:45885-2400
Practice Address - Country:US
Practice Address - Phone:419-394-3335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-04
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4709225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant