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Individual

MR. THOMAS A KRUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT,MTC

Contact information

Practice address
8055 O ST, SUITE S103, LINCOLN, NE 68510-2564
(402) 413-6549
Mailing address
8055 O ST, SUITE S103, LINCOLN, NE 68510-2564
(402) 413-6549

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1987
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
280096
MEDICARE ID
NE
Enumeration date
05/17/2006
Last updated
06/05/2015
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