Search › Colorado › 101YA0400X
Michael Kragt, PHD
NPI 1225393267 · on the registry since 2012
Practice
- Address
- 1515 Fortino Blvd
Suite 120
Pueblo, CO 81008 - Phone
- (719) 544-4111
- Fax
- (719) 544-3497
- Organisation at this address
- Eh Hospice Of Colorado, Llc
Premier Back Rehabilitation Center, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 103TC0700X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-07-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado