Provider Demographics
NPI:1346530128
Name:KREBS, TRINETTE (MPT, ATC)
Entity Type:Individual
Prefix:MS
First Name:TRINETTE
Middle Name:
Last Name:KREBS
Suffix:
Gender:F
Credentials:MPT, ATC
Other - Prefix:MS
Other - First Name:TRINETTE
Other - Middle Name:
Other - Last Name:PRATER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT, ATC
Mailing Address - Street 1:275 W 200 N
Mailing Address - Street 2:SUITE 150
Mailing Address - City:LINDON
Mailing Address - State:UT
Mailing Address - Zip Code:84042-5009
Mailing Address - Country:US
Mailing Address - Phone:801-785-2823
Mailing Address - Fax:801-769-2643
Practice Address - Street 1:275 W 200 N
Practice Address - Street 2:SUITE 150
Practice Address - City:LINDON
Practice Address - State:UT
Practice Address - Zip Code:84042-5009
Practice Address - Country:US
Practice Address - Phone:801-785-2823
Practice Address - Fax:801-769-2643
Is Sole Proprietor?:No
Enumeration Date:2011-04-13
Last Update Date:2012-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6347031-2401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist