Individual
JOHN TRAVIS KRAYENHAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1635 N WATER ST APT 312, MILWAUKEE, WI 53202-3623
(563) 650-2889
Mailing address
1635 N WATER ST APT 312, MILWAUKEE, WI 53202-3623
(563) 650-2889
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8316-26
WI
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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