Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 01835 | IA |
N | 2251E1200X | Ergonomics | 01835 | IA |
N | 225XE1200X | Ergonomics | 01835 | IA |
N | 2251G0304X | Physical Therapist - Geriatrics | 01835 | IA |
N | 2251S0007X | Physical Therapist - Sports | 01835 | IA |
N | 2251X0800X | Physical Therapist - Orthopedic | 01835 | IA |
NPI | 1134168313 |
---|---|
Provider Name | Steven Eugene Krieg |
First Address | Decorah, IA 52101-7817 |
Second Address | Decorah, IA 52101-2720 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 16/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0182782 | (05) | IA |
421470451 | MAYO (01) | IA |
44395 | BLUE CROSS BLUE SHEILD (01) | IA |
8B772KR | BLUE CROSS BLUE SHEILD (01) | MN |
F245962 | MIDLANDS CHOICE (01) | IA |
TN0100 | JOHN DEERE (01) | IA |