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NPI Code Detail

MEDICARE: MR. ANDREW KRAUSE LMT

MEDICARE:  MR. ANDREW  KRAUSE  LMT
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
1225700000XMassage TherapistMT.0022021CO

General Provider Information

NPI Number : 1487416905
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANDREW KRAUSE LMT
Provider Business Mailing Address
First Line : 4345 BEVERLY ST STE G
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-5916
Country : US
Telephone Number : 719-645-6303
Fax Number :
Provider Business Practice Location Address
First Line : 4345 BEVERLY ST STE G
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-5916
Country : US
Telephone Number : 719-645-6303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2024
Last Update Date : 02/03/2024

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Directions to “ MR. ANDREW KRAUSE LMT” Practice Location

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