Kruse, Jonathon Ivan

Kruse, Jonathon Ivan is an individual health care provider with primary practice located at 1 Freedom Way Pt Gym 1G127, Augusta GA 30904-6258. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kruse, Jonathon Ivan can be contacted via phone (706) 733-0188.

Contact Information

Primary practice address
1 Freedom Way Pt Gym 1G127 Augusta GA 30904-6258
Phone: (706) 733-0188
Fax: (706) 731-7159
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT010699 Georgia

Profile Details

NPI number 1962749317
LBN Legal business name Kruse, Jonathon Ivan
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2013
Last updated Jan 4th, 2013 - about 13 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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