Doctor Name: | DR. BRADLEY MICHAEL KRUSE |
NPI Number: | 1316164445 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, DPT, ATC |
License Number: | 02771 |
Business Practice Address: | 1550 Clarke Dr Dubuque, IA - 520013117 |
Business Phone Number: | 5635886403 |
Business Fax Number: | |
Mailing Address: | 3049 Spring Valley Rd, DUBUQUE |
State: | IA |
Postal Code: | 520011528 |
Phone Number: | 5635134509 |
Fax Number: | |
NPI Enumeration Date: | 04/19/2007 |
NPI Last Update Date: | 09/21/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 02771 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
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 |