Individual
MARA M KRUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17331 E 40 HWY STE 105, INDEPENDENCE, MO 64055-6444
(816) 478-2333
Mailing address
13001 E BETH LEE DR, PECULIAR, MO 64078-9456
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-07559
KS
225100000X
Physical Therapist
Primary
2024004708
MO
Other
Enumeration date
02/14/2024
Last updated
08/18/2024
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