Provider Demographics
NPI:1861451965
Name:STRICEK, JAMES (ATHLETIC TRAINER)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:STRICEK
Suffix:
Gender:M
Credentials:ATHLETIC TRAINER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 PARK AVENUE EXT
Mailing Address - Street 2:
Mailing Address - City:CURWENSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16833-1557
Mailing Address - Country:US
Mailing Address - Phone:814-371-8056
Mailing Address - Fax:814-265-1899
Practice Address - Street 1:1200 WOOD ST
Practice Address - Street 2:
Practice Address - City:BROCKWAY
Practice Address - State:PA
Practice Address - Zip Code:15824-2118
Practice Address - Country:US
Practice Address - Phone:814-265-8792
Practice Address - Fax:814-265-1899
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART002371A2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer