Provider Demographics
NPI:1083839872
Name:KRAGER, CRAIG MARSHALL (ATC)
Entity Type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:MARSHALL
Last Name:KRAGER
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1315 E 18TH ST
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-4159
Mailing Address - Country:US
Mailing Address - Phone:970-744-0513
Mailing Address - Fax:
Practice Address - Street 1:1551 PROFESSIONAL LN UNIT 200
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-6964
Practice Address - Country:US
Practice Address - Phone:303-772-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer