Individual
KODY KRUPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2751 O'VARSITY WAY, CINCINNATI, OH 45221-0001
(513) 556-3178
Mailing address
131 WELLINGTON PL UNIT B106, CINCINNATI, OH 45219-2681
(309) 712-1668
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT018159
OH
2251S0007X
Sports Physical Therapist
PT018159
OH
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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