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NPI Code Detail

MEDICARE: MR. DANIEL J.R. KRAUSHAAR PT, CSCS

MEDICARE:  MR. DANIEL J.R. KRAUSHAAR  PT, CSCS
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
1225100000XPhysical TherapistPT008105GA

General Provider Information

NPI Number : 1225071202
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DANIEL J.R. KRAUSHAAR PT, CSCS
Provider Business Mailing Address
First Line : 111 N MARIETTA PKWY NE
Second Line : A112
City : MARIETTA
State : GA
Zip : 30060-1478
Country : US
Telephone Number : 706-536-7851
Fax Number :
Provider Business Practice Location Address
First Line : 59 EXECUTIVE PARK SOUTH NE
Second Line : SUITE 1100
City : ATLANTA
State : GA
Zip : 30329-2208
Country : US
Telephone Number : 404-778-6330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2006
Last Update Date : 07/08/2007

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Directions to “ MR. DANIEL J.R. KRAUSHAAR PT, CSCS” Practice Location

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