Individual
DANIEL WILLIAM KALANI KRUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6912 220TH ST SW, 200, MOUNTLAKE TERRACE, WA 98043-2169
(425) 672-2716
(425) 672-2720
Mailing address
22503 62ND AVE W, MOUNTLAKE TERRACE, WA 98043-2507
(425) 877-0869
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
P160439817
WA
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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