Basic Information
| Provider Information | |||||||||
| NPI: | 1952950297 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CRAMPTON | ||||||||
| FirstName: | REBEKAH | ||||||||
| MiddleName: | ELISE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3870 HAMMER RANCH RD | ||||||||
| Address2: | |||||||||
| City: | COLORADO SPRINGS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809299714 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7194645911 | ||||||||
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| Practice Location | |||||||||
| Address1: | 11681 VOYAGER PKWY STE 150 | ||||||||
| Address2: | |||||||||
| City: | COLORADO SPRINGS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809213864 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7193449342 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/09/2019 | ||||||||
| LastUpdateDate: | 09/09/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106S00000X | RBT-19-98309 | CO | Y |
No ID Information.