Individual
AUSTIN KROUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
690 FURNACE HILLS PIKE, LITITZ, PA 17543-8907
(717) 626-6288
Mailing address
690 FURNACE HILLS PIKE, LITITZ, PA 17543-8907
(717) 626-6288
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG012025
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81-3753875
MASSAGE
—
Enumeration date
05/11/2018
Last updated
05/11/2018
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