Provider Demographics
NPI:1316356231
Name:SCHROEPFER, HEIDI (ATC)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:SCHROEPFER
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 S CHAPMAN ST
Mailing Address - Street 2:
Mailing Address - City:GHENT
Mailing Address - State:MN
Mailing Address - Zip Code:56239-9747
Mailing Address - Country:US
Mailing Address - Phone:507-829-0206
Mailing Address - Fax:
Practice Address - Street 1:1500 GREENLAND DR
Practice Address - Street 2:MURPHY CENTER BOX 77
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37132-3100
Practice Address - Country:US
Practice Address - Phone:507-829-0206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-05
Last Update Date:2014-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN18162255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer