Provider Demographics
NPI:1811453251
Name:KROHN, KRISTOPHER (DPT)
Entity type:Individual
Prefix:
First Name:KRISTOPHER
Middle Name:
Last Name:KROHN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6124 DEER STONE CT SW
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52404-4861
Mailing Address - Country:US
Mailing Address - Phone:319-329-9495
Mailing Address - Fax:
Practice Address - Street 1:400 COLLINS RD NE # MS 154100
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52498-0505
Practice Address - Country:US
Practice Address - Phone:319-295-8899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-11
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA094536225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist