Healthcare Provider Details

I. General information

NPI: 1518703206
Provider Name (Legal Business Name): JULIANNA KRATZER MS, LAT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2024
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2945 ALPINE RD
COLUMBIA SC
29223-2701
US

IV. Provider business mailing address

5205 GRANDVIEW AVE
ALTOONA PA
16601-1038
US

V. Phone/Fax

Practice location:
  • Phone: 814-631-8499
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: