Provider Demographics
NPI:1669067997
Name:KREWER, ANNA MARIE (LMT)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIE
Last Name:KREWER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 BROWN ST APT 2
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-5849
Mailing Address - Country:US
Mailing Address - Phone:319-569-7213
Mailing Address - Fax:
Practice Address - Street 1:422 BROWN ST APT 2
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-5849
Practice Address - Country:US
Practice Address - Phone:319-569-7213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA089049225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist