Individual
JOHN KRUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
60 W 94TH PL, CROWN POINT, IN 46307-1710
(219) 661-9508
(219) 661-9509
Mailing address
60 W 94TH PL, CROWN POINT, IN 46307-1710
(219) 661-9508
(219) 661-9509
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05001166A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100326590
—
IN
Enumeration date
08/23/2010
Last updated
08/23/2010
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