Individual
JILL KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5775 N UNION BLVD, COLORADO SPRINGS, CO 80918-1744
(719) 434-7044
(719) 375-1276
Mailing address
5775 N UNION BLVD, COLORADO SPRINGS, CO 80918-1744
(719) 434-7044
(719) 375-1276
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0013674
CO
225700000X
Massage Therapist
MT.0016017
CO
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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