Individual
MS. MICHELLE LEA KRAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT/ATC
Contact information
Practice address
2501 E MEMORIAL RD, EDMOND, OK 73013-5525
(405) 425-1960
(405) 425-1962
Mailing address
2501 E MEMORIAL RD, EDMOND, OK 73013-5525
(405) 425-1960
(405) 425-1962
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2813
OK
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
371
OK
Other
Enumeration date
03/17/2006
Last updated
09/25/2014
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