Provider Demographics
NPI:1194744607
Name:STADELMEYER, ARTHUR JOHN II (MA, ATC)
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:JOHN
Last Name:STADELMEYER
Suffix:II
Gender:M
Credentials:MA, ATC
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Mailing Address - Street 1:2525 MCGURK ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41102-4759
Mailing Address - Country:US
Mailing Address - Phone:606-465-4634
Mailing Address - Fax:606-324-0517
Practice Address - Street 1:1500 BLQZER BOULEVARD
Practice Address - Street 2:PAUL G. BLAZER SENIOR HIGH SCHOOL
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41102
Practice Address - Country:US
Practice Address - Phone:606-327-6050
Practice Address - Fax:606-324-0517
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
KYAT1262255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer