Provider Demographics
NPI:1881804797
Name:CRUTE, KARIN JOAN (PT)
Entity type:Individual
Prefix:MRS
First Name:KARIN
Middle Name:JOAN
Last Name:CRUTE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 TOWER DR STE 120
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098-2839
Mailing Address - Country:US
Mailing Address - Phone:248-293-0881
Mailing Address - Fax:
Practice Address - Street 1:700 TOWER DR STE 120
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48098-2839
Practice Address - Country:US
Practice Address - Phone:248-293-0888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501005452225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist