Individual
BRENNA KROGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
315 129TH ST S, TACOMA, WA 98444-5044
(253) 298-3000
Mailing address
11557 174TH ST E, PUYALLUP, WA 98374-9452
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
123757
TX
225XP0200X
Pediatric Occupational Therapist
Primary
70014967
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123757
COMMERCIALS
TX
05
—
123757
—
TX
Enumeration date
07/17/2023
Last updated
04/13/2026
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