Individual
AUTUMN LORRAINE BEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
320 MAIN ST, 2ND FL, JOHNSTOWN, PA 15901-1601
(814) 534-1095
(814) 534-6145
Mailing address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 410-8300
(814) 410-8331
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
RT004068
PA
363A00000X
Physician Assistant
Primary
—
PA
Other
Enumeration date
06/01/2007
Last updated
08/28/2015
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