MEDICARE: AMY M KRAUSS LMT, MTI

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	225700000X	Massage Therapist	MT100300	TX

General Provider Information

NPI Number	:	1598366288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY M KRAUSS LMT, MTI

Provider Business Mailing Address
First Line	:	201 SHALIMAR DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78213-2608
Country	:	US
Telephone Number	:	210-371-0714
Fax Number	:

Provider Business Practice Location Address
First Line	:	7300 BLANCO RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-4936
Country	:	US
Telephone Number	:	210-787-6037
Fax Number	:

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

Provider Enumeration Date	:	11/08/2020
Last Update Date	:	11/08/2020

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