Individual
JENNIFER KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LAT ATC
Contact information
Practice address
4879 STATE ST, RIVERDALE, IA 52722-5775
(563) 459-2342
Mailing address
4879 STATE ST, RIVERDALE, IA 52722-5775
(563) 459-2342
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
072820
IA
Other
Enumeration date
10/20/2016
Last updated
02/20/2020
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