Provider Demographics
NPI:1164165775
Name:TREGEA, DEBORAH (MED)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:TREGEA
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8891 JONESTOWN RD
Mailing Address - Street 2:
Mailing Address - City:GRANTVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17028-8652
Mailing Address - Country:US
Mailing Address - Phone:717-635-0746
Mailing Address - Fax:
Practice Address - Street 1:8891 JONESTOWN RD
Practice Address - Street 2:
Practice Address - City:GRANTVILLE
Practice Address - State:PA
Practice Address - Zip Code:17028-8652
Practice Address - Country:US
Practice Address - Phone:717-635-0746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-20
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist