Individual
COURTNEY KRUGGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5261 N PORT WASHINGTON RD, GLENDALE, WI 53217-4903
(414) 332-6001
(414) 332-3712
Mailing address
5261 N PORT WASHINGTON RD, STE 101, GLENDALE, WI 53217-4903
(414) 332-6001
(414) 332-3712
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15035-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15035-24
PT LICENSE
WI
Enumeration date
06/09/2020
Last updated
03/05/2021
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