Provider Demographics
NPI:1336427418
Name:SCHLOSSER, TYER DREW (ATC)
Entity Type:Individual
Prefix:
First Name:TYER
Middle Name:DREW
Last Name:SCHLOSSER
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 UNIVERSITY DR.
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:OH
Mailing Address - Zip Code:45817-1170
Mailing Address - Country:US
Mailing Address - Phone:419-345-8449
Mailing Address - Fax:
Practice Address - Street 1:1 UNIVERSITY DR.
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:OH
Practice Address - Zip Code:45817-1170
Practice Address - Country:US
Practice Address - Phone:419-345-8449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-24
Last Update Date:2011-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT.0028092255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer