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NPI Code Detail

MEDICARE: MRS. MICHELLE KRATZER P.T.A.

MEDICARE: MRS. MICHELLE KRATZER P.T.A.
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
1225200000XPhysical Therapy AssistantKYA00843KY

General Provider Information

NPI Number : 1548665011
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MICHELLE KRATZER P.T.A.
Provider Business Mailing Address
First Line : 8005 US HIGHWAY 60 W
Second Line :
City : LEWISPORT
State : KY
Zip : 42351-7079
Country : US
Telephone Number : 270-295-6756
Fax Number :
Provider Business Practice Location Address
First Line : 8005 US HIGHWAY 60 W
Second Line :
City : LEWISPORT
State : KY
Zip : 42351-7079
Country : US
Telephone Number : 270-295-6756
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2014
Last Update Date : 10/27/2014

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