Provider Demographics
NPI:1336591908
Name:TURCHETTA, ANTHONY (MSED, ATC)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:
Last Name:TURCHETTA
Suffix:
Gender:M
Credentials:MSED, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 N CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:PA
Mailing Address - Zip Code:17078-1701
Mailing Address - Country:US
Mailing Address - Phone:724-433-0813
Mailing Address - Fax:
Practice Address - Street 1:308 HOCKERSVILLE RD
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-2080
Practice Address - Country:US
Practice Address - Phone:717-298-1411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-07
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0053842255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer