Provider Demographics
NPI:1740372333
Name:KREUTZ, JAMES CLAYTON (MPT)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:CLAYTON
Last Name:KREUTZ
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
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Mailing Address - Street 1:5000 ELLINGHOUSE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:COOL
Mailing Address - State:CA
Mailing Address - Zip Code:95614-9568
Mailing Address - Country:US
Mailing Address - Phone:530-887-9598
Mailing Address - Fax:530-887-9512
Practice Address - Street 1:5000 ELLINGHOUSE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:COOL
Practice Address - State:CA
Practice Address - Zip Code:95614-9568
Practice Address - Country:US
Practice Address - Phone:530-887-9598
Practice Address - Fax:530-889-8787
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 261482251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic