Individual
TED HENRY KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, CSCS
Contact information
Practice address
1129 11TH ST SE, SUITE A, DYERSVILLE, IA 52040-2050
(563) 875-8615
(563) 875-8722
Mailing address
1129 11TH ST SE, SUITE A, DYERSVILLE, IA 52040-2050
(563) 875-8615
(563) 875-8722
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03764
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38593
WELLMARK BCBS
IA
Enumeration date
11/09/2006
Last updated
11/09/2016
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