Individual
MICHELLE CHRISTINE KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1350 N GRANT ST, KENNEWICK, WA 99336-1355
(509) 735-2014
(509) 735-3980
Mailing address
2424 W GRAND RONDE PL, KENNEWICK, WA 99336-2536
(509) 929-6690
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160292386
WA
Other
Enumeration date
08/11/2012
Last updated
08/11/2012
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