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NPI Code Detail

MEDICARE: TESLA CROUSE

MEDICARE: TESLA CROUSE
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
1227900000XRegistered Respiratory Therapist

General Provider Information

NPI Number : 1669301420
Entity Type Code : Individual
Provider Name (Legal Business Name) : TESLA CROUSE
Provider Business Mailing Address
First Line : 10993 LAWRENCE RD
Second Line :
City : BROOKLYN
State : MI
Zip : 49230-9546
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1959 NE PACIFIC ST MAIN HOSPITAL
Second Line :
City : SEATTLE
State : WA
Zip : 98195-0001
Country : US
Telephone Number : 206-598-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “ TESLA CROUSE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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