Individual
BRIAN TIMOTHY KRATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1301 BARBARA JORDAN BLVD, SUITE 300, AUSTIN, TX 78723-3077
(512) 478-8116
(512) 478-9368
Mailing address
1301 BARBARA JORDAN BLVD, SUITE 300, AUSTIN, TX 78723-3077
(512) 478-8116
(512) 478-9368
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1190039
TX
2251S0007X
Sports Physical Therapist
1190039
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
846T62
BCBS INDIVIDUAL NUMBER
TX
Enumeration date
08/05/2010
Last updated
09/23/2010
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