Provider Demographics
NPI:1497067508
Name:MCINTYRE, LAUREN MICHELLE (ATC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:MICHELLE
Last Name:MCINTYRE
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:MICHELLE
Other - Last Name:KREHA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC
Mailing Address - Street 1:614 2ND AVE SUITE G FLOOR 2
Mailing Address - Street 2:HARKNESS CENTER FOR DANCE INJURIES
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-9998
Mailing Address - Country:US
Mailing Address - Phone:724-689-2765
Mailing Address - Fax:
Practice Address - Street 1:614 2ND AVE SUITE G FLOOR 2
Practice Address - Street 2:HARKNESS CENTER FOR DANCE INJURIES
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-9998
Practice Address - Country:US
Practice Address - Phone:212-598-6022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-06
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer