Provider Demographics
NPI:1083797831
Name:CRIPE, STEPHEN ANDREW (ATC)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:ANDREW
Last Name:CRIPE
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4000 WHITING DRIVE
Mailing Address - Street 2:NORTHWOOD UNIVERSITY
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640
Mailing Address - Country:US
Mailing Address - Phone:989-837-4387
Mailing Address - Fax:989-837-4484
Practice Address - Street 1:4000 WHITING DR
Practice Address - Street 2:NORTHWOOD UNIVERSITY
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-6634
Practice Address - Country:US
Practice Address - Phone:989-837-4387
Practice Address - Fax:989-837-4484
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer