MEDICARE: DR. KERRI ANN KRIEGER DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT25602	FL

General Provider Information

NPI Number	:	1730490798
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KERRI ANN KRIEGER DPT

Provider Business Mailing Address
First Line	:	6714 FOREST HILL BLVD
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33413-3335
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6714 FOREST HILL BLVD
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33413-3335
Country	:	US
Telephone Number	:	561-433-2009
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2010
Last Update Date	:	06/24/2010

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