Provider Demographics
NPI:1164889150
Name:KRAWCZYK, ELIZABETH (MHR, LAT, ATC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:KRAWCZYK
Suffix:
Gender:F
Credentials:MHR, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5834 MARION ST
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66218-8417
Mailing Address - Country:US
Mailing Address - Phone:803-370-8441
Mailing Address - Fax:
Practice Address - Street 1:5834 MARION ST
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66218-8417
Practice Address - Country:US
Practice Address - Phone:803-370-8441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-21
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer