| Mr Lars Erik Krusholm, PT | |
|
Medical Dept, Uss Kitty Hawk Cv-63, Fpo, AP 96634 | |
| (901) 855-1755 | |
| Not Available |
| Full Name | Mr Lars Erik Krusholm |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | Medical Dept, Fpo, Armed Forces Pacific |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356312532 | NPI | - | NPPES |
| PT 23727 | Other | CA | PT STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT 23727 (California) | Primary |
| Provider Name | Department Of Health & Human Services Phs Ihs |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1194754382 PECOS PAC ID: 7517879794 Enrollment ID: O20031105000353 |
| Provider Name | Ton Sells Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1487652426 PECOS PAC ID: 5092768663 Enrollment ID: O20050301000125 |
| Provider Name | Ton San Xavier Health Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1437157302 PECOS PAC ID: 6608819339 Enrollment ID: O20050603000721 |
| Provider Name | Ton Santa Rosa Health Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770581639 PECOS PAC ID: 0749223485 Enrollment ID: O20050603000761 |
| Provider Name | Ton San Simon Health Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588834998 PECOS PAC ID: 8123194354 Enrollment ID: O20081111000398 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Lars Erik Krusholm, PT Medical Dept, Uss Kitty Hawk Cv-63, Fpo, AP 96634 Ph: (901) 855-1755 | Mr Lars Erik Krusholm, PT Medical Dept, Uss Kitty Hawk Cv-63, Fpo, AP 96634 Ph: (901) 855-1755 |
Matthew Richard Hanks, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Psc 482, Fpo, AP 96362 Phone: 098-646-7430 | |
Dr. Anna May Wisherd, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Us Naval Hospital Okinawa, Psc 482 Attn: Medical Staff Service Office, Fpo, AP 96350 Phone: 315-646-7430 | |
Dr. David Mccall Groves, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Naval Hospital Yokosuka Japan, Fpo, AP 96350 Phone: 315-255-8158 | |
Mrs. Jennifer Lynn Mcgrath, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Us Navy Hospital Okinawa, Psc 482, Fpo, AP 96362 Phone: 011-813-116437555 | |
Dr. Thomas Swift, PT, DPT, OCS, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Psc 475 Box 1, Fpo, AP 96350 Phone: 315-253-4562 | |
Lydia Hunter, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: Nmrtc Okinawa Psc 482, Fpo, AP 96362 Phone: 098-971-7540 | |
Nicole Swanson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Psc 482, Fpo, AP 96362 Phone: 011-819-8971 |