Provider Demographics
NPI:1164889150
Name:KREBS, ELIZABETH (MHR, ATC, SCAT)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:KREBS
Suffix:
Gender:F
Credentials:MHR, ATC, SCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:531 DIDSBURY DR
Mailing Address - Street 2:APT 106
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730-7865
Mailing Address - Country:US
Mailing Address - Phone:803-370-8441
Mailing Address - Fax:803-323-3933
Practice Address - Street 1:531 DIDSBURY DR
Practice Address - Street 2:APT 106
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29730-7865
Practice Address - Country:US
Practice Address - Phone:803-370-8441
Practice Address - Fax:803-323-3933
Is Sole Proprietor?:No
Enumeration Date:2016-01-21
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer