Provider Demographics
NPI:1477714079
Name:KRUM, ANTHONY M (MSPT)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:M
Last Name:KRUM
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7063 S OWENS ST
Mailing Address - Street 2:#A-1
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-2847
Mailing Address - Country:US
Mailing Address - Phone:303-799-6336
Mailing Address - Fax:303-799-3524
Practice Address - Street 1:9570 S KINGSTON CT
Practice Address - Street 2:#300
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-6003
Practice Address - Country:US
Practice Address - Phone:303-799-6336
Practice Address - Fax:303-799-3524
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-17
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COPTL-9110225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist