Provider Demographics
NPI:1225689565
Name:KRANZ, SYDNEY (LMBT)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:
Last Name:KRANZ
Suffix:
Gender:
Credentials:LMBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 PERRY RD
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-7702
Mailing Address - Country:US
Mailing Address - Phone:919-228-8663
Mailing Address - Fax:
Practice Address - Street 1:825 PERRY RD
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-7702
Practice Address - Country:US
Practice Address - Phone:919-228-8663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-27
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA79807225700000X
NC17514225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist