Provider Demographics
NPI:1518595586
Name:SCHREYER, EVAN (LAT, ATC)
Entity Type:Individual
Prefix:
First Name:EVAN
Middle Name:
Last Name:SCHREYER
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 1:1306 JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:WINDBER
Mailing Address - State:PA
Mailing Address - Zip Code:15963-1716
Mailing Address - Country:US
Mailing Address - Phone:814-248-0377
Mailing Address - Fax:
Practice Address - Street 1:660 S 11TH STREET
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15705-0001
Practice Address - Country:US
Practice Address - Phone:724-357-2100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-27
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer