Provider Demographics
NPI:1649675901
Name:GEIGER, ANTHONY VINCENT JR (ATC)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:VINCENT
Last Name:GEIGER
Suffix:JR
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:PO BOX 303
Mailing Address - Street 2:175 S. 3RD STREET
Mailing Address - City:SHANDON
Mailing Address - State:CA
Mailing Address - Zip Code:93461-0303
Mailing Address - Country:US
Mailing Address - Phone:805-546-3225
Mailing Address - Fax:805-463-3158
Practice Address - Street 1:7400, HIGHWAY ONE
Practice Address - Street 2:SHIPPING/RECEIVING, BUILDING
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93405-8106
Practice Address - Country:US
Practice Address - Phone:805-546-3225
Practice Address - Fax:805-564-3158
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-29
Last Update Date:2014-10-29
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer