Provider Demographics
NPI:1225206618
Name:PRITCHARD, STEVE (LAT, ATC)
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:
Last Name:PRITCHARD
Suffix:
Gender:M
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20614 CASTLEMAINE CIR
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44149-0921
Mailing Address - Country:US
Mailing Address - Phone:440-572-3161
Mailing Address - Fax:440-572-2130
Practice Address - Street 1:18697 BAGLEY RD.
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG HTS.
Practice Address - State:OH
Practice Address - Zip Code:44130-3497
Practice Address - Country:US
Practice Address - Phone:440-816-8008
Practice Address - Fax:440-816-4850
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0015702255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer