Individual
DR. KATIE MELISSA KRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, LAT
Contact information
Practice address
633 EMERSON RD, SUITE 20, SAINT LOUIS, MO 63141-6739
(636) 893-1360
(636) 893-1362
Mailing address
1066 BIG BEND STATION DR, MANCHESTER, MO 63088-1430
(314) 761-6790
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2012023549
MO
2255A2300X
Athletic Trainer
2012021652
MO
Other
Enumeration date
07/17/2012
Last updated
07/08/2015
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