Individual
KAYLA JANAE KRUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
206 BISON MEADOW DR, WAXAHACHIE, TX 75165-8767
(469) 245-7858
Mailing address
206 BISON MEADOW DR, WAXAHACHIE, TX 75165-8767
(469) 245-7858
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2076680
TX
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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