Provider Demographics
NPI:1033709472
Name:BRATSCH, KRISTI
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:
Last Name:BRATSCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28167 890TH AVE
Mailing Address - Street 2:
Mailing Address - City:DANUBE
Mailing Address - State:MN
Mailing Address - Zip Code:56230-1128
Mailing Address - Country:US
Mailing Address - Phone:320-905-2076
Mailing Address - Fax:
Practice Address - Street 1:28167 890TH AVE
Practice Address - Street 2:
Practice Address - City:DANUBE
Practice Address - State:MN
Practice Address - Zip Code:56230-1128
Practice Address - Country:US
Practice Address - Phone:320-905-2076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-20
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program