Provider Demographics
NPI:1891913901
Name:SCHLACHTER, AMY (ATC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:SCHLACHTER
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 ELLWOOD AVE SW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44710-1214
Mailing Address - Country:US
Mailing Address - Phone:330-479-2890
Mailing Address - Fax:330-471-8298
Practice Address - Street 1:515 25TH ST NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44709-3823
Practice Address - Country:US
Practice Address - Phone:330-471-8479
Practice Address - Fax:330-471-8298
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT-20372255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer