Healthcare Provider Details

I. General information

NPI: 1366372898
Provider Name (Legal Business Name): LAUREN SCHRADER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 CENTER AVE STE 200
BAY CITY MI
48708-5904
US

IV. Provider business mailing address

401 CENTER AVE STE 200
BAY CITY MI
48708-5904
US

V. Phone/Fax

Practice location:
  • Phone: 989-778-2522
  • Fax:
Mailing address:
  • Phone: 989-778-2522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number7501004333
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: