Provider Demographics
NPI:1881273027
Name:KRATZER, ZOE PAGE (MED, LAT, ATC)
Entity type:Individual
Prefix:
First Name:ZOE
Middle Name:PAGE
Last Name:KRATZER
Suffix:
Gender:F
Credentials:MED, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:439 COLLEGE AVE APT A
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-2265
Mailing Address - Country:US
Mailing Address - Phone:707-685-5515
Mailing Address - Fax:
Practice Address - Street 1:100 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:MONACA
Practice Address - State:PA
Practice Address - Zip Code:15061-2764
Practice Address - Country:US
Practice Address - Phone:724-745-5750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-05
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0071842255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer