Individual
BRIAN TIMOTHY KRATZ
Active
Individual
BRIAN TIMOTHY KRATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
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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