Individual
MR. JEFFERY L KREUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
279 S 17TH AVE, SUITE 3, WEST BEND, WI 53095-3001
(262) 335-0514
(262) 335-0514
Mailing address
279 S 17TH AVE, SUITE 3, WEST BEND, WI 53095-3001
(262) 335-0514
(262) 335-0514
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1848-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40121700
—
WI
Enumeration date
01/17/2006
Last updated
07/30/2010
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