Doctor Name: | MR. JEFFERY L KREUSER |
NPI Number: | 1497735443 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPT |
License Number: | 1848-024 |
Business Practice Address: | 279 S 17th Ave Suite 3 West Bend, WI - 530953001 |
Business Phone Number: | 2623350514 |
Business Fax Number: | 2623350514 |
Mailing Address: | 279 S 17th Ave, Suite 3 WEST BEND |
State: | WI |
Postal Code: | 530953001 |
Phone Number: | 2623350514 |
Fax Number: | 2623350514 |
NPI Enumeration Date: | 01/17/2006 |
NPI Last Update Date: | 07/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1848-024 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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 |