Provider Demographics
NPI:1649651423
Name:KRUEGER, BRITTANY (DC)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:
Last Name:KRUEGER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 E MCNEILL ST
Mailing Address - Street 2:
Mailing Address - City:STEPHENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76401-4334
Mailing Address - Country:US
Mailing Address - Phone:254-434-5296
Mailing Address - Fax:
Practice Address - Street 1:421 E MCNEILL ST
Practice Address - Street 2:
Practice Address - City:STEPHENVILLE
Practice Address - State:TX
Practice Address - Zip Code:76401-4334
Practice Address - Country:US
Practice Address - Phone:254-434-5296
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-17
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12959111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor