Provider Demographics
NPI:1508179912
Name:KRAMER, AMBER N (MPT)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:N
Last Name:KRAMER
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:N
Other - Last Name:RADER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:429 CALIFORNIA AVE
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-1701
Mailing Address - Country:US
Mailing Address - Phone:567-250-8190
Mailing Address - Fax:567-260-8190
Practice Address - Street 1:1101 W MAIN CROSS ST
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-2422
Practice Address - Country:US
Practice Address - Phone:567-250-8190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-15
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVPT002852225100000X
KYPT005642225100000X
OHPT 013014225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVP00873748OtherMEDICARE RAILROAD
WV3810018231Medicaid
WV4296091Medicare PIN