Provider Demographics
NPI:1720281868
Name:CRIPPS, BECKY L (PTA)
Entity Type:Individual
Prefix:MS
First Name:BECKY
Middle Name:L
Last Name:CRIPPS
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1124 MALZAHN ST
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-2973
Mailing Address - Country:US
Mailing Address - Phone:989-790-6974
Mailing Address - Fax:
Practice Address - Street 1:6190 HOSPITAL DR
Practice Address - Street 2:SUITE #102
Practice Address - City:CASS CITY
Practice Address - State:MI
Practice Address - Zip Code:48726-1072
Practice Address - Country:US
Practice Address - Phone:989-872-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant