Whalio Doctors

NPI 1245483403

David Wayne Schroder, PTA

Practitioner Physical Therapy Assistant Council Bluffs, IA

Practice location

Address
130 Briar Ridge Dr, Council Bluffs, IA 51503-6405
Phone
(712) 366-4135

Registered specialties (2)

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 00420 (IA)
Physical Therapy Assistant
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 561 (NE)

Registry record

NPI
1245483403
Entity type
Individual
Sex (as registered)
Male
NPI issued
30 Oct 2008
Record last updated
30 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.