Raye Nell Kruse, PTA

NPI #1649770355 in Longview, Texas

Provider Information

NPI Number: 1649770355
Entity Type: Individual
Name: Raye Nell Kruse, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Feb 19, 2018
Last Updated: Feb 19, 2018

Practice Location

Address: 137 AMY ST
City: Longview
State: Texas
ZIP Code: 75605-5503
Phone: (903) 576-3877

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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