Kraig A Geraets, RPT
Individual provider Active NPI Physical Therapist · Watertown, MN
NPI 1447422142 · NPPES record last updated Apr 2, 2008
Key facts
- NPI
- 1447422142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 7118 (MN)
- Practice address
- 200 Lewis Ave S
Ste #210
Watertown, MN 55388-4545 - Phone
- (952) 955-2242
- Fax
- (952) 955-2010
- NPI assigned
- Apr 2, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7118 | MN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7118 | MN | Yes |
Addresses
Primary practice location
200 Lewis Ave S
Ste #210
Watertown, MN 55388-4545
Mailing address
200 Lewis Ave S
Ste #210
Watertown, MN 55388-4545
Phone (952) 955-2242
Other providers in Watertown, MN
- Dennis Edward Eickhoff
- Elim Homes, Inc.
- Andrew Curtis Engebretson
- Bailey Farrell
- Connie Lee Gable
- Ryan Dean Goetz
- Robert Thomas Griffith
- Heart Counseling PLLC
- Kym Sue Howe
- Independent School District 111
All providers in Watertown, MN · Physical Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.