Summer Kruse, OTR
Individual provider Active NPI Occupational Therapist · Lexington, OH
NPI 1982990834 · NPPES record last updated Jun 20, 2011
Key facts
- NPI
- 1982990834
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 7417 (OH)
- Practice address
- 250 Delaware Ave
Lexington, OH 44904-1215 - Phone
- (419) 884-7447
- NPI assigned
- Jun 20, 2011
- Sex
- Female
- 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 |
|---|---|---|---|
| 7417 | OH | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 7417 | OH | Yes |
Addresses
Primary practice location
250 Delaware Ave
Lexington, OH 44904-1215
Mailing address
250 Delaware Ave
Lexington, OH 44904-1215
Phone (419) 884-7447
Other providers in Lexington, OH
- Bethany Noel Johnson
- Matthew S Jordan
- Sandra Kay Kautz
- Samantha Kessler
- Morgan E Klenk
- Linda Marlene Lamson
- Elizabeth Landon
- Rachael Lonnae Lewis
- Stephanie Lynn Lewis
- Lexington Family Eye Care
All providers in Lexington, OH · Occupational Therapist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2011. 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.