Provider Demographics
NPI:1871642504
Name:KREBS, J. TROY-ANN (LAC, CNC)
Entity Type:Individual
Prefix:
First Name:J.
Middle Name:TROY-ANN
Last Name:KREBS
Suffix:
Gender:F
Credentials:LAC, CNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9528 E 112TH PL
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:CO
Mailing Address - Zip Code:80640-9349
Mailing Address - Country:US
Mailing Address - Phone:303-470-1995
Mailing Address - Fax:303-346-7628
Practice Address - Street 1:9528 E 112TH PL
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:CO
Practice Address - Zip Code:80640-9349
Practice Address - Country:US
Practice Address - Phone:303-470-1995
Practice Address - Fax:303-346-7628
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO811171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist