Provider Demographics
NPI:1992154090
Name:PRESSLEY, ANTONIO JR (ATC)
Entity type:Individual
Prefix:
First Name:ANTONIO
Middle Name:
Last Name:PRESSLEY
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 1:2703 E KANTZ DR APT 8
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-3203
Mailing Address - Country:US
Mailing Address - Phone:734-634-1982
Mailing Address - Fax:
Practice Address - Street 1:2703 E. KANTZ DR. APT. 8
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-3203
Practice Address - Country:US
Practice Address - Phone:734-634-1982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-09
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer