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Search › Washington › Student in an Organized Health Care Education/Training Program

Jack Kruse, SUDPT

NPI 1457987992 · on the registry since 2020

Practice

Address
16715 Aurora Ave N Ste 102
Shoreline, WA 98133
Phone
(206) 546-9766
Fax
(206) 542-0326
Organisation at this address
Therapeutic Health Services
Therapeutic Health Services
Therapeutic Health Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
41

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-03-17

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 Washington