Provider Demographics
NPI:1154108801
Name:BABJAK, ALEXIS LYNN (ATC)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:LYNN
Last Name:BABJAK
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:LEXIE
Other - Middle Name:
Other - Last Name:BABJAK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:713 VANDERBILT DR
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-1923
Mailing Address - Country:US
Mailing Address - Phone:412-526-9162
Mailing Address - Fax:
Practice Address - Street 1:3000 GATEWAY CAMPUS BLVD
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146
Practice Address - Country:US
Practice Address - Phone:412-373-5740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-14
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer