Individual
MS. ELIZABETH FACKLER
Active
Individual
MS. ELIZABETH FACKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4925
KY
2251X0800X
Orthopedic Physical Therapist
004925
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000484220
ANTHEM PROVIDER ID
KY
01
—
KY4925
KY STATE LICENSE
KY
Enumeration date
02/16/2007
Last updated
07/30/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up