Provider Demographics
NPI:1437306123
Name:KNEPP, BETTY JO (OWNER/OPERATOR)
Entity Type:Individual
Prefix:MRS
First Name:BETTY
Middle Name:JO
Last Name:KNEPP
Suffix:
Gender:F
Credentials:OWNER/OPERATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 68
Mailing Address - Street 2:106 JURY ST
Mailing Address - City:BIGLER
Mailing Address - State:PA
Mailing Address - Zip Code:16825-0068
Mailing Address - Country:US
Mailing Address - Phone:814-761-1864
Mailing Address - Fax:
Practice Address - Street 1:106 JURY RD
Practice Address - Street 2:
Practice Address - City:BIGLER
Practice Address - State:PA
Practice Address - Zip Code:16825-0068
Practice Address - Country:US
Practice Address - Phone:814-761-1864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-25
Last Update Date:2009-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver
No251S00000XAgenciesCommunity/Behavioral Health
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist