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General NPI Number Information
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NPI Number | 1528675477
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Entity Type | Individual
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Provider Name | ALEC SCHROFF DPT
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Gender | Male
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Dates
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Enumeration Date | 09/24/2020
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Last Update Date | 09/24/2020
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Provider Practice Location Address
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Address Line | 5701 N 26TH ST
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City | TACOMA
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State | WA
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Zip | 98407-2408
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Country | US
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Telephone | 253-507-7450
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Fax |
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Provider Business Mailing Address
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Address Line | 4925 WALSH ST
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City | SAINT LOUIS
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State | MO
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Zip | 63109-3216
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Country | US
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Telephone | 314-691-1557
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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