Provider Demographics
NPI:1164726477
Name:KNERR, ELIZABETH TULEYA (PT)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:TULEYA
Last Name:KNERR
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 HOPE DR
Mailing Address - Street 2:PO BOX 850: MAIL CODE EC130
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-2036
Mailing Address - Country:US
Mailing Address - Phone:717-531-5864
Mailing Address - Fax:717-531-0138
Practice Address - Street 1:30 HOPE DR
Practice Address - Street 2:MAIL CODE EC130
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-2036
Practice Address - Country:US
Practice Address - Phone:717-531-5864
Practice Address - Fax:717-531-0138
Is Sole Proprietor?:No
Enumeration Date:2010-12-29
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT000130E225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist