Individual
MR. RUDOLF KREPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
1301 N DIVISION AVE, SANDPOINT, ID 83864-8268
(208) 263-8866
(208) 265-8808
Mailing address
1301 N DIVISION AVE, SANDPOINT, ID 83864-8268
(208) 263-8866
(208) 265-8808
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT674
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T6848
BLUE CROSS ID
ID
Enumeration date
08/09/2006
Last updated
07/08/2007
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