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Herman Kruse, ATC, LAT

NPI 1235372343 · on the registry since 2009 · sole proprietor

Practice

Address
2345 Main St
Glastonbury, CT 06033
Phone
(800) 998-0800
Fax
(860) 657-2596
Clinicians at this address
32

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-04-20

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 Connecticut