Individual
DR. NICHOLE LEE KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
14557 W INDIAN SCHOOL RD, SUITE 500B, GOODYEAR, AZ 85395-9243
(623) 242-6908
(623) 242-6909
Mailing address
14557 W INDIAN SCHOOL RD, SUITE 500B, GOODYEAR, AZ 85395-9243
(623) 242-6908
(623) 242-6909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9253
AZ
Other
Enumeration date
02/22/2011
Last updated
03/09/2015
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