Provider Demographics
NPI:1508179953
Name:ENGELKING, ELIZABETH (MT-BC, NMT)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:ENGELKING
Suffix:
Gender:F
Credentials:MT-BC, NMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55401-2383
Mailing Address - Country:US
Mailing Address - Phone:612-321-0100
Mailing Address - Fax:612-767-5556
Practice Address - Street 1:501 S 2ND ST
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55401-2383
Practice Address - Country:US
Practice Address - Phone:612-321-0100
Practice Address - Fax:612-767-5556
Is Sole Proprietor?:No
Enumeration Date:2010-07-14
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist