Doctor Name: | KRISTI K KROUSE |
NPI Number: | 1023269859 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | 599 |
Business Practice Address: | 25341 448th Ave Montrose, SD - 570485617 |
Business Phone Number: | 6053635379 |
Business Fax Number: | |
Mailing Address: | 25341 448th Ave, MONTROSE |
State: | SD |
Postal Code: | 570485617 |
Phone Number: | 6053635379 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2008 |
NPI Last Update Date: | 10/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 599 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |