Doctor Name: | KENNETH JOHN KRUG |
NPI Number: | 1003125170 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT, CWS |
License Number: | 020453-1 |
Business Practice Address: | 8712 Park Dr Hamburg, NY - 140757322 |
Business Phone Number: | 7169036401 |
Business Fax Number: | 7162024512 |
Mailing Address: | 8712 Park Dr, HAMBURG |
State: | NY |
Postal Code: | 140757322 |
Phone Number: | 7169036401 |
Fax Number: | 7162024512 |
NPI Enumeration Date: | 10/06/2010 |
NPI Last Update Date: | 10/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 020453-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |