Individual
GREYSON DAVIAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, EMT
Contact information
Practice address
441 COUNTRY CLUB RD, YORK, PA 17403-3614
(717) 846-7788
Mailing address
51 SMITH MILL RD, NEW FREEDOM, PA 17349-8147
(717) 817-1208
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1039251
PA DEPARTMENT OF HEALTH EMERGENCY MEDICAL TECHNICIAN
PA
01
—
2000053540
CERTIFIED ATHLETIC TRAINER
—
01
—
RT008255
PA STATE BOARD OF MEDICINE
PA
Enumeration date
02/07/2022
Last updated
07/03/2024
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