Stephanie Jo Kronlage, PTA
Individual provider Active NPI Physical Therapy Assistant · Amana, IA
NPI 1487080875 · NPPES record last updated Sep 18, 2013
Key facts
- NPI
- 1487080875
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 01121 (IA)
- Practice address
- 1174 Iowa Dr
Amana, IA 52203-7600 - Phone
- (319) 721-4579
- NPI assigned
- Sep 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 01121 | IA | Yes |
Addresses
Primary practice location
1174 Iowa Dr
Amana, IA 52203-7600
Mailing address
1174 Iowa Dr
Amana, IA 52203-7600
Phone (319) 721-4579
Other providers in Amana, IA
- Christopher Marvin Engel
- Essence of Life LLC
- Gbank Health LLC
- Shawn Graves
- Brandon Hefel
- Lakeview Village Inc
- Anthony Ralph Lewis
- Marengo Memorial Hospital
- Erika Rachelle Miller
- Timothy D Momany
All providers in Amana, IA · Physical Therapy Assistant in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2013. 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.