Provider Demographics
NPI:1336539055
Name:SCHURR, STACY ANN (ATC)
Entity Type:Individual
Prefix:
First Name:STACY
Middle Name:ANN
Last Name:SCHURR
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 1:192 YELLOWSTONE DR
Mailing Address - Street 2:APT 308
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-8120
Mailing Address - Country:US
Mailing Address - Phone:605-377-3304
Mailing Address - Fax:
Practice Address - Street 1:192 YELLOWSTONE DR
Practice Address - Street 2:APT 308
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-8120
Practice Address - Country:US
Practice Address - Phone:605-377-3304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-02
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01260021742255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer