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NPI Code Detail

MEDICARE: COLIN KRUSE

MEDICARE:   COLIN  KRUSE
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 TherapistLPT-32298AZ
2225100000XPhysical TherapistPT60700019WA
3225100000XPhysical Therapist4132NV

General Provider Information

NPI Number : 1609312081
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLIN KRUSE
Provider Business Mailing Address
First Line : 555 COLLEGE DR STE C
Second Line :
City : HENDERSON
State : NV
Zip : 89015-1546
Country : US
Telephone Number : 725-254-1251
Fax Number : 725-254-1252
Provider Business Practice Location Address
First Line : 555 COLLEGE DR STE C
Second Line :
City : HENDERSON
State : NV
Zip : 89015-1546
Country : US
Telephone Number : 725-254-1251
Fax Number : 725-254-1252
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2017
Last Update Date : 12/08/2024

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Directions to “ COLIN KRUSE ” Practice Location

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