Provider Demographics
NPI:1275200560
Name:S. G. KROUSE PHYSICAL THERAPY & HEALTH SOLUTIONS
Entity Type:Organization
Organization Name:S. G. KROUSE PHYSICAL THERAPY & HEALTH SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSANNA
Authorized Official - Middle Name:G
Authorized Official - Last Name:KROUSE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:706-936-5828
Mailing Address - Street 1:15 SYCAMORE ST
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-9400
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15 SYCAMORE ST
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-9400
Practice Address - Country:US
Practice Address - Phone:706-250-0552
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service