Provider Demographics
NPI:1548258338
Name:YORTON, STRAUM ERIK (ATC)
Entity type:Individual
Prefix:
First Name:STRAUM
Middle Name:ERIK
Last Name:YORTON
Suffix:
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:CHIP FACILITY
Mailing Address - Street 2:CENTRAL MICHIGAN UNIVERSITY
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48859-0001
Mailing Address - Country:US
Mailing Address - Phone:989-774-7833
Mailing Address - Fax:989-774-2177
Practice Address - Street 1:CHIP FACILITY
Practice Address - Street 2:CENTRAL MICHIGAN UNIVERSITY
Practice Address - City:MOUNT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48859-0001
Practice Address - Country:US
Practice Address - Phone:989-774-7833
Practice Address - Fax:989-774-2177
Is Sole Proprietor?:No
Enumeration Date:2005-10-06
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer