Healthcare Provider Details

I. General information

NPI: 1629156997
Provider Name (Legal Business Name): DENNIS PERRY SCHROEPFER P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 BROADWAY ST
ALEXANDRIA MN
56308-2708
US

IV. Provider business mailing address

1924 SUNFISH LN SW
ALEXANDRIA MN
56308-4646
US

V. Phone/Fax

Practice location:
  • Phone: 320-762-6479
  • Fax:
Mailing address:
  • Phone: 320-763-7342
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2323
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: