Individual
DIANE K KRUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCMT, CRT
Contact information
Practice address
14332 21ST AVE N, STE 200, PLYMOUTH, MN 55447-4631
(763) 300-5833
Mailing address
14332 21ST AVE N, STE 200, PLYMOUTH, MN 55447-4631
(763) 398-0365
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
172M00000X
MN
173C00000X
Reflexologist
173C00000X
MN
Other
Enumeration date
09/29/2008
Last updated
06/12/2013
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