Individual
TIFFANY KRUGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3217 SUMMIT SQUARE PL STE 100, LEXINGTON, KY 40509-2642
(859) 271-1092
(888) 521-2925
Mailing address
3217 SUMMIT SQUARE PL STE 100, LEXINGTON, KY 40509-2642
(859) 699-6750
(888) 521-2925
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005174
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000789193
ANTHEM PIN
—
01
—
6045363
AETNA PIN
—
05
—
7100224380
—
KY
Enumeration date
10/17/2012
Last updated
01/06/2025
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