Provider Demographics
NPI:1487182986
Name:NEELD, ANDREW FRANCIS (MS, LAT, ATC)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:FRANCIS
Last Name:NEELD
Suffix:
Gender:M
Credentials:MS, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:891 ORCHARD LN
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-4519
Mailing Address - Country:US
Mailing Address - Phone:215-527-6175
Mailing Address - Fax:
Practice Address - Street 1:2601 WILLIAM PENN HWY
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-5267
Practice Address - Country:US
Practice Address - Phone:215-527-6175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-26
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0057392255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer