Provider Demographics
NPI:1659256683
Name:SCHRODER, BREANNA
Entity type:Individual
Prefix:
First Name:BREANNA
Middle Name:
Last Name:SCHRODER
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 1:605 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:STAPLEHURST
Mailing Address - State:NE
Mailing Address - Zip Code:68439-3017
Mailing Address - Country:US
Mailing Address - Phone:402-948-0650
Mailing Address - Fax:
Practice Address - Street 1:605 SOUTH ST
Practice Address - Street 2:
Practice Address - City:STAPLEHURST
Practice Address - State:NE
Practice Address - Zip Code:68439-3017
Practice Address - Country:US
Practice Address - Phone:402-948-0650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer