Individual
CARRIE LYNN KRAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3380 44TH ST SW, GRANDVILLE, MI 49418-2461
(616) 233-3591
Mailing address
607 DEWEY AVE NW STE 300, GRAND RAPIDS, MI 49504-7335
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501013494
MI
Other
Enumeration date
09/28/2007
Last updated
08/25/2014
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