Kruse, Traci Lynn

Kruse, Traci Lynn is an sole proprietor health care provider with primary practice located at 11437 Kenyon Ct Ne , Blaine MN 55449-5483. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Kruse, Traci Lynn can be contacted via phone (651) 343-4198.

Contact Information

Primary practice address
11437 Kenyon Ct Ne Blaine MN 55449-5483
Phone: (651) 343-4198
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 103808 Minnesota

Profile Details

NPI number 1760009153
LBN Legal business name Kruse, Traci Lynn
Credentials OTD, MA, OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2020
Last updated Jul 1st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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