Healthcare Provider Details

I. General information

NPI: 1295342988
Provider Name (Legal Business Name): SARAH ELIZABETH SCHILLER MS, LAT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2020
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3121 UNIVERSITY DR E STE 100
BRYAN TX
77802-3499
US

IV. Provider business mailing address

2916 HELMS GATE CIR
BRYAN TX
77807-4802
US

V. Phone/Fax

Practice location:
  • Phone: 979-776-0169
  • Fax:
Mailing address:
  • Phone: 979-446-7493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberAT9072
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: