Provider Demographics
NPI:1235808072
Name:KRUEGER, HAYLEY ADDISON (DPT)
Entity Type:Individual
Prefix:
First Name:HAYLEY
Middle Name:ADDISON
Last Name:KRUEGER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:790 REMINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-4909
Mailing Address - Country:US
Mailing Address - Phone:866-370-8206
Mailing Address - Fax:517-435-3670
Practice Address - Street 1:4611 SANGAMORE RD STE G
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20816-2547
Practice Address - Country:US
Practice Address - Phone:240-802-5199
Practice Address - Fax:240-219-2120
Is Sole Proprietor?:No
Enumeration Date:2021-09-07
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist