Provider Demographics
NPI:1891170551
Name:STARNS, ELIZABETH ACUS (DED, ATC, CSCS)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ACUS
Last Name:STARNS
Suffix:
Gender:F
Credentials:DED, ATC, CSCS
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:SUE
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:109 UNIVERSITY SQ
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16541-0002
Mailing Address - Country:US
Mailing Address - Phone:814-871-7362
Mailing Address - Fax:
Practice Address - Street 1:109 UNIVERSITY SQ
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16541-0002
Practice Address - Country:US
Practice Address - Phone:814-871-7362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-23
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT.0035922255A2300X
PART0056902255A2300X
VA01260023352255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer