Provider Demographics
NPI:1306857933
Name:KRULL, CHRISTOPHER N (DPT)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:N
Last Name:KRULL
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1929 WEST A ST
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101
Mailing Address - Country:US
Mailing Address - Phone:308-221-6850
Mailing Address - Fax:308-221-6852
Practice Address - Street 1:1929 WEST A ST
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101
Practice Address - Country:US
Practice Address - Phone:308-221-6850
Practice Address - Fax:308-221-6852
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1556225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
39865OtherBCBS
P36307Medicare UPIN
39865OtherBCBS
650022075OtherRAILROAD MEDICARE
650022075OtherPALMETTO GBA
274309Medicare ID - Type Unspecified