Provider Demographics
NPI:1740635382
Name:ERBRECHT, ELIZABETH MUNSON (LMT)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MUNSON
Last Name:ERBRECHT
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 1:938 RUSSELLWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:MC KEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136-2316
Mailing Address - Country:US
Mailing Address - Phone:412-445-3704
Mailing Address - Fax:
Practice Address - Street 1:938 RUSSELLWOOD AVE
Practice Address - Street 2:
Practice Address - City:MC KEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-2316
Practice Address - Country:US
Practice Address - Phone:412-445-3704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-02
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG004830225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist