Individual
DR. OTTO WALDEMAR KRUEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, ATC, LMT
Contact information
Practice address
2785 N ANKENY BLVD, STE. 16, ANKENY, IA 50023-4769
(515) 964-5000
Mailing address
2785 N ANKENY BLVD., STE. 16, ANKENY, IA 50023
(515) 964-5000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06749
IA
2255A2300X
Athletic Trainer
00363
IA
225700000X
Massage Therapist
02340
IA
Other
Enumeration date
10/10/2006
Last updated
08/02/2012
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