MRS. MARY T KRUSE O.T. NPI 1205094646

NPI Information

NPI: 1205094646
Provider Name: MRS. MARY T KRUSE, O.T.
Classification: Occupational Therapist - 225XN1300X
Specialization: Neurorehabilitation
Entity Type: Individual
Address: 1126 S 70TH ST
SUITE S305B
WEST ALLIS, WI
ZIP 53214
Phone: (414) 456-2330

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NPI Details

MRS. Mary T Kruse, O.T. is a neurorehabilitation occupational therapist in West Allis, WI. MRS. Mary T Kruse, O.T. NPI is 1205094646. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1126 S 70TH ST
SUITE S305B
WEST ALLIS, WI
ZIP 53214-151
Phone: (414) 456-2330

The enumeration date for this NPI number is 5/31/2008 and was last updated on 5/31/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225XN1300X	Occupational Therapist	Neurorehabilitation	1003-026	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1003-026	OTHER	WISCONSIN	STATE OF WISCONSIN OT LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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