Provider Demographics
NPI:1811567019
Name:KREPPS, ALEXA (LMT)
Entity Type:Individual
Prefix:MISS
First Name:ALEXA
Middle Name:
Last Name:KREPPS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 S ALLEN ST STE 3
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-4857
Mailing Address - Country:US
Mailing Address - Phone:814-933-2563
Mailing Address - Fax:
Practice Address - Street 1:311 S ALLEN ST STE 3
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-4857
Practice Address - Country:US
Practice Address - Phone:814-933-2563
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-29
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist