Provider Demographics
NPI:1043618754
Name:KRUSE, NATALIE KAY
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:KAY
Last Name:KRUSE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:KAY
Other - Last Name:LARSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10710 WESTMINSTER BLVD UNIT 120
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80020-4182
Mailing Address - Country:US
Mailing Address - Phone:303-593-0696
Mailing Address - Fax:
Practice Address - Street 1:10710 WESTMINSTER BLVD UNIT 120
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80020-4182
Practice Address - Country:US
Practice Address - Phone:303-593-0696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-11
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0015518225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist