Provider Demographics
NPI:1871335968
Name:STURCHAK, DANIEL BARRETT (ATC-LAT)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:BARRETT
Last Name:STURCHAK
Suffix:
Gender:M
Credentials:ATC-LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:753 MARY ST
Mailing Address - Street 2:
Mailing Address - City:BENTLEYVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15314-1016
Mailing Address - Country:US
Mailing Address - Phone:724-825-2042
Mailing Address - Fax:
Practice Address - Street 1:1 RAM DR
Practice Address - Street 2:
Practice Address - City:MONONGAHELA
Practice Address - State:PA
Practice Address - Zip Code:15063-3004
Practice Address - Country:US
Practice Address - Phone:724-258-2200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic TrainerGroup - Single Specialty