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Contact Information

MIRANDA KRUEGER, PTA
4810 BARBICAN AVE
WESTON, WI54476-4186
 Phone: 715-393-0400
 Fax: 715-393-0938
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MIRANDA KRUEGER · (Female)

NPI Number 1346614229
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 11/16/2015
Last updated 11/16/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 2338-19
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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