Doctor Name: | BRENDA HUGHES KREUTER |
NPI Number: | 1023132875 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT,CHT |
License Number: | 00912 |
Business Practice Address: | 54 Hospital Dr Osage Beach, MO - 650653050 |
Business Phone Number: | 5733022230 |
Business Fax Number: | |
Mailing Address: | 100 Bluebird Ln, LEBANON |
State: | MO |
Postal Code: | 655362073 |
Phone Number: | 4175321912 |
Fax Number: | |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251H1200X |
License Number: | 00912 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |