Provider Demographics
NPI:1255305199
Name:SHROYER, STEVEN MICHAEL (ATC, LAT)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:MICHAEL
Last Name:SHROYER
Suffix:
Gender:M
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 S SAMUEL DR
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-1523
Mailing Address - Country:US
Mailing Address - Phone:740-607-4140
Mailing Address - Fax:
Practice Address - Street 1:950 BETHESDA DR BLDG 5
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-7507
Practice Address - Country:US
Practice Address - Phone:740-586-6828
Practice Address - Fax:740-586-6511
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-15
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH15992255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer