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Individual

KRISTA LODGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1111 ANSBOROUGH AVE, WATERLOO, IA 50701-2248
(319) 433-0130
(319) 433-0131
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6200

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12010-24
WI

Other

Enumeration date
07/24/2012
Last updated
02/18/2019
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