Provider Demographics
NPI:1013780527
Name:KRAUSE, ALLISON NICOLE (ATC)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:NICOLE
Last Name:KRAUSE
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12001 DR. MLK JR ST NORTH
Mailing Address - Street 2:APT 3802
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33716
Mailing Address - Country:US
Mailing Address - Phone:859-912-4156
Mailing Address - Fax:
Practice Address - Street 1:1311 VINE ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202-7118
Practice Address - Country:US
Practice Address - Phone:866-456-7846
Practice Address - Fax:513-306-4004
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer