MEDICARE: MATT T KRINGS MPT

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	PT00009079	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00004293	OTHER	WA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	169252	OTHER	WA	DEPT OF LABOR & INDUSTRY
2	A022	OTHER	WA	TRICARE
4	0290917	OTHER	WA	DEPT. OF LABOR AND INDUSTRIES
5	6854KR	OTHER	WA	REGENCE BLUE SHIELD
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	8934688	OTHER	WA	CRIME VICTIMS

General Provider Information

NPI Number	:	1407932957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATT T KRINGS MPT

Provider Business Mailing Address
First Line	:	790 REMINGTON BLVD
Second Line	:
City	:	BOLINGBROOK
State	:	IL
Zip	:	60440-4909
Country	:	US
Telephone Number	:	630-296-2223
Fax Number	:	630-759-9510

Provider Business Practice Location Address
First Line	:	6601 220TH ST SW
Second Line	:	SUITE 1
City	:	MOUNTLAKE TERRACE
State	:	WA
Zip	:	98043-2166
Country	:	US
Telephone Number	:	425-775-7274
Fax Number	:	425-775-0963

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

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	07/09/2015

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Directions to “ MATT T KRINGS MPT” Practice Location

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