Provider Demographics
NPI:1972070233
Name:SCHLABACH, KRISTEN (BS)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:SCHLABACH
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 AFFINITY LN APT 249D
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14215-2937
Mailing Address - Country:US
Mailing Address - Phone:254-220-9472
Mailing Address - Fax:
Practice Address - Street 1:6 AFFINITY LN APT 249D
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215-2937
Practice Address - Country:US
Practice Address - Phone:254-220-9472
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-25
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer