Provider Demographics
NPI:1417439332
Name:SCHREIER, ERIK PHILLIP (LMT, CR)
Entity Type:Individual
Prefix:
First Name:ERIK
Middle Name:PHILLIP
Last Name:SCHREIER
Suffix:
Gender:M
Credentials:LMT, CR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 15359
Mailing Address - Street 2:
Mailing Address - City:FRITZ CREEK
Mailing Address - State:AK
Mailing Address - Zip Code:99603-6359
Mailing Address - Country:US
Mailing Address - Phone:907-299-0449
Mailing Address - Fax:
Practice Address - Street 1:1044 E END RD STE B
Practice Address - Street 2:
Practice Address - City:HOMER
Practice Address - State:AK
Practice Address - Zip Code:99603-7205
Practice Address - Country:US
Practice Address - Phone:907-299-0449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-06
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK101424225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty