Individual
KIMBERLY KRUTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
640 SUPERIOR COURT, MEDFORD, OR 97504
(541) 670-7628
Mailing address
640 SUPERIOR CT, MEDFORD, OR 97504-6181
(541) 670-7628
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
3468
OR
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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