Individual
ANTHONY KROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPT, LMT, ERS
Contact information
Practice address
3609 WHITE BEAR AVE N, SUITE #202, WHITE BEAR LAKE, MN 55110-4466
(651) 246-3873
Mailing address
3609 WHITE BEAR AVE N, SUITE #202, WHITE BEAR LAKE, MN 55110-4466
(651) 246-3873
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
MN
225700000X
Massage Therapist
—
MN
Other
Enumeration date
10/11/2007
Last updated
11/18/2008
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