Individual
KELSEY KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 ROS CIR, REPUBLIC, WA 99166-5002
(509) 775-8400
Mailing address
160 HIDDEN OAK EST, BOURBON, MO 65441-9486
(573) 259-5863
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/20/2021
Last updated
06/20/2021
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