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Provider Profile

Ellison M. Kruckenberg, COTA/L

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At a glance

About Ellison Kruckenberg

Ellison M. Kruckenberg, COTA/L is a healthcare provider located in Bountiful, UT. This provider record is associated with NPI 1386100402.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Credentials & Licensing

UT licenceAs reported to the NPI registry
No. 12931092-4202As reported
NPINational Provider Identifier
1386100402Issued 2019

As reported to the NPI registry ↗

Common questions

Where is Ellison M. Kruckenberg located?

Ellison M. Kruckenberg is listed at 401 S 400 E, Bountiful, UT 84010. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Ellison M. Kruckenberg's phone number?

The number on file is (801) 295-2361. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Ellison M. Kruckenberg's NPI number?

Ellison M. Kruckenberg's National Provider Identifier is 1386100402. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Ellison M. Kruckenberg been practicing?

Ellison M. Kruckenberg has 7+ years experience. Registered with an NPI since 2019. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Ellison M. Kruckenberg confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Ellison M. Kruckenberg. If this is you, claiming it is free.

Guide.md

Guide.md listings do not constitute medical advice or an endorsement.

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