Provider Demographics
NPI:1609676139
Name:BARTLETT, BRECK ELIZABETH (L AC)
Entity type:Individual
Prefix:
First Name:BRECK
Middle Name:ELIZABETH
Last Name:BARTLETT
Suffix:
Gender:
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:915 CASTLEGATE CIR
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-8526
Mailing Address - Country:US
Mailing Address - Phone:724-953-6970
Mailing Address - Fax:724-836-5565
Practice Address - Street 1:298 OLD ROUTE 30
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-7035
Practice Address - Country:US
Practice Address - Phone:724-836-5520
Practice Address - Fax:724-836-5565
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK001426171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist