Healthcare Provider Details

I. General information

NPI: 1316356231
Provider Name (Legal Business Name): HEIDI SCHROEPFER ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2014
Last Update Date: 08/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 GREENLAND DR MURPHY CENTER BOX 77
MURFREESBORO TN
37132-3100
US

IV. Provider business mailing address

205 S CHAPMAN ST
GHENT MN
56239-9747
US

V. Phone/Fax

Practice location:
  • Phone: 507-829-0206
  • Fax:
Mailing address:
  • Phone: 507-829-0206
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number1816
License Number StateTN

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: