Doctor Name: | ALEX KRUSE |
NPI Number: | 1639428220 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 070019374 |
Business Practice Address: | 16101 Weber Rd Crest Hill, IL - 604038812 |
Business Phone Number: | 8153061100 |
Business Fax Number: | 8153061105 |
Mailing Address: | 16101 Weber Rd, CREST HILL |
State: | IL |
Postal Code: | 604038812 |
Phone Number: | 8153061100 |
Fax Number: | 8153061105 |
NPI Enumeration Date: | 08/29/2012 |
NPI Last Update Date: | 08/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070019374 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |