Individual
MATTHEW TODD KRAEMER
Active
Individual
MATTHEW TODD KRAEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6533
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2Z1695
HEALTH NET ID NUMBER
AZ
01
—
610640800
GROUP OWCP NUMBER
AZ
01
—
AZ0461720
GROUP BCBS NUMBER
AZ
Enumeration date
01/08/2007
Last updated
08/02/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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