Individual
KIERSTEN C KRUCHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MYOFUNCTIONAL THERAP
Contact information
Practice address
30 BERKSHIRE PARK DR, CHAGRIN FALLS, OH 44022-3500
(619) 518-9698
Mailing address
30 BERKSHIRE PARK DR, CHAGRIN FALLS, OH 44022-3500
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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