Provider Demographics
NPI:1992922199
Name:SUNQUIST, ELIZABETH ANN (ATC)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ANN
Last Name:SUNQUIST
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:ANN
Other - Last Name:NIEBUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC, ATR
Mailing Address - Street 1:8800 250TH ST E
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:MN
Mailing Address - Zip Code:55031-9793
Mailing Address - Country:US
Mailing Address - Phone:651-253-4118
Mailing Address - Fax:
Practice Address - Street 1:200 FRIST ST SW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55905-0001
Practice Address - Country:US
Practice Address - Phone:507-266-9384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN19572255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer