Provider Demographics
NPI:1306588488
Name:KROL, DAKOTA (DPT)
Entity type:Individual
Prefix:
First Name:DAKOTA
Middle Name:
Last Name:KROL
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 JANE DR
Mailing Address - Street 2:
Mailing Address - City:CANDIA
Mailing Address - State:NH
Mailing Address - Zip Code:03034-2719
Mailing Address - Country:US
Mailing Address - Phone:603-203-8524
Mailing Address - Fax:
Practice Address - Street 1:45 WELLS PLZ UNIT 10
Practice Address - Street 2:
Practice Address - City:WELLS
Practice Address - State:ME
Practice Address - Zip Code:04090-4146
Practice Address - Country:US
Practice Address - Phone:207-641-2292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-10
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH4815225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist