Provider Demographics
NPI:1225469802
Name:KRAUS, CYNTHIA (CRT)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:KRAUS
Suffix:
Gender:F
Credentials:CRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:451 ALLEN DR
Mailing Address - Street 2:
Mailing Address - City:ROCKWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37854-7140
Mailing Address - Country:US
Mailing Address - Phone:865-776-0577
Mailing Address - Fax:
Practice Address - Street 1:451 ALLEN DR
Practice Address - Street 2:
Practice Address - City:ROCKWOOD
Practice Address - State:TN
Practice Address - Zip Code:37854-7140
Practice Address - Country:US
Practice Address - Phone:865-776-0577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-06
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN605227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified