Tracie Janet Kreutzer PTA

NPI 1235408626 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1235408626
Gender Female
Enumeration Date 12/14/2011
Last Updated 12/14/2011
Entity Type Individual
Active Over 4 years ago
Practice Location
3656 MALL DR
EAU CLAIRE WI, 54701-7634, US
Phone (715) 552-1035
Fax
Business Location
3656 MALL DR
EAU CLAIRE WI, 54701-7634, US
Phone (715) 552-1035
Fax
Toxanomy
Taxonomy Code 225200000X
License State Wisconsin
License Number 1698-19
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According to our database, Mrs. Tracie Janet Kreutzer PTA NPI is 1235408626, taxonomy code is 225200000X and license number is 1698-19, license state is located at Wisconsin. Tracie Janet Kreutzer PTA physically located at 3656 Mall Dr, Eau Claire WI, 54701-7634. NPI Number Tracie Janet Kreutzer PTA has the Individual type.

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1235408626 NPI number is provided on an as is basis without warranty of any kind. 1235408626 is maintained by the National Plan & Provider Enumeration System. The contents of Tracie Janet Kreutzer PTA are for informational purposes only.