Individual
SAMANTHA JO KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 S AZTEC ST, MONTEZUMA, KS 67867-8811
(620) 846-2241
Mailing address
PO BOX 1433, CIMARRON, KS 67835-1433
(620) 255-2133
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-02923
KS
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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