Provider Demographics
NPI:1538044839
Name:SCHREURS, ALEXIS KATHLEEN
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:KATHLEEN
Last Name:SCHREURS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2802 42ND ST W
Mailing Address - Street 2:
Mailing Address - City:BROOKINGS
Mailing Address - State:SD
Mailing Address - Zip Code:57006-4206
Mailing Address - Country:US
Mailing Address - Phone:507-829-0952
Mailing Address - Fax:
Practice Address - Street 1:2802 42ND ST W
Practice Address - Street 2:
Practice Address - City:BROOKINGS
Practice Address - State:SD
Practice Address - Zip Code:57006-4206
Practice Address - Country:US
Practice Address - Phone:605-783-3607
Practice Address - Fax:605-783-3607
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant