Provider Demographics
NPI:1225372048
Name:KRUEGER, KAREN (RPT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:KRUEGER
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8818 E GRACE AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99212-2165
Mailing Address - Country:US
Mailing Address - Phone:509-927-1138
Mailing Address - Fax:509-921-5259
Practice Address - Street 1:8818 E GRACE AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99212-2165
Practice Address - Country:US
Practice Address - Phone:509-927-1138
Practice Address - Fax:509-921-5259
Is Sole Proprietor?:No
Enumeration Date:2012-11-16
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT 000050262251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics