Provider Demographics
NPI:1578839833
Name:KRING, JOEL (CMT)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:
Last Name:KRING
Suffix:
Gender:M
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 LAMMS MILL RD
Mailing Address - Street 2:
Mailing Address - City:WERNERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19565-9104
Mailing Address - Country:US
Mailing Address - Phone:610-693-6837
Mailing Address - Fax:610-375-0356
Practice Address - Street 1:600 CENTRE AVE
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19601-2827
Practice Address - Country:US
Practice Address - Phone:610-375-9319
Practice Address - Fax:610-375-0356
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-30
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist