Individual
EMILY LOUISE KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1414 N PROSPECT AVE, MILWAUKEE, WI 53202-3018
(414) 276-2627
Mailing address
5723 W VLIET ST, MILWAUKEE, WI 53208-2162
(770) 878-0223
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
259219
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259219
—
WI
Enumeration date
06/25/2017
Last updated
06/25/2017
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