Individual
KASEY KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14927
WI
225100000X
Physical Therapist
3121670
TX
Other
Enumeration date
01/18/2018
Last updated
01/25/2024
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