MEDICARE: ROBERT STEVEN KREUTZ JR. B.S., D.C.

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	111N00000X	Chiropractor	3134	WA

General Provider Information

NPI Number	:	1053319459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT STEVEN KREUTZ JR. B.S., D.C.

Provider Business Mailing Address
First Line	:	215 79TH PL SW
Second Line	:
City	:	EVERETT
State	:	WA
Zip	:	98203-6218
Country	:	US
Telephone Number	:	425-387-2556
Fax Number	:	425-353-1033

Provider Business Practice Location Address
First Line	:	13619 MUKILTEO SPEEDWAY STE B4
Second Line	:
City	:	LYNNWOOD
State	:	WA
Zip	:	98087-1671
Country	:	US
Telephone Number	:	425-353-1011
Fax Number	:	425-353-1033

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

Provider Enumeration Date	:	07/09/2005
Last Update Date	:	11/04/2019

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