Provider Demographics
NPI:1356423412
Name:KRAMER, ADRIENNE LEE (PT)
Entity type:Individual
Prefix:MS
First Name:ADRIENNE
Middle Name:LEE
Last Name:KRAMER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:864 HAYWOOD RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-3114
Mailing Address - Country:US
Mailing Address - Phone:828-252-4422
Mailing Address - Fax:828-252-4411
Practice Address - Street 1:864 HAYWOOD RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-3114
Practice Address - Country:US
Practice Address - Phone:828-252-4422
Practice Address - Fax:828-252-4411
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6100225100000X
FLPT21156225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC07839OtherBLUE CROSS/BLUE SHIELD
NC07839OtherBLUE CROSS/BLUE SHIELD
NC2329680AMedicare ID - Type Unspecified