Provider Demographics
NPI:1467239491
Name:TRAYERS, AMANDA
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:TRAYERS
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 1:3011 CLAY PIKE
Mailing Address - Street 2:
Mailing Address - City:RILLTON
Mailing Address - State:PA
Mailing Address - Zip Code:15678-2709
Mailing Address - Country:US
Mailing Address - Phone:724-757-8683
Mailing Address - Fax:
Practice Address - Street 1:3011 CLAY PIKE
Practice Address - Street 2:
Practice Address - City:RILLTON
Practice Address - State:PA
Practice Address - Zip Code:15678-2709
Practice Address - Country:US
Practice Address - Phone:724-757-8683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer