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NPI Code Detail

MEDICARE: LAURIE KREUZ

MEDICARE: LAURIE KREUZ
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 TherapistPT-04498OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000140522OTHEROHANTHEM PROVIDER NUMBER

General Provider Information

NPI Number : 1225173552
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURIE KREUZ
Provider Business Mailing Address
First Line : 3638 BOWEN RD
Second Line :
City : TOLEDO
State : OH
Zip : 43613-4825
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2865 N REYNOLDS RD STE 110
Second Line :
City : TOLEDO
State : OH
Zip : 43615-2069
Country : US
Telephone Number : 419-578-7530
Fax Number : 419-539-0288
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2007
Last Update Date : 07/08/2007

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Directions to “ LAURIE KREUZ ” Practice Location

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