Provider Demographics
NPI:1568203537
Name:KRAUSE, MUHAMMAD RASHAD (PT)
Entity type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:RASHAD
Last Name:KRAUSE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:MUHAMMAD
Other - Middle Name:RASHAD
Other - Last Name:AL-SABBAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:508 SE CLAREMONT ST
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64063-6132
Mailing Address - Country:US
Mailing Address - Phone:417-761-4399
Mailing Address - Fax:
Practice Address - Street 1:308 SE GREEN ST
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-2737
Practice Address - Country:US
Practice Address - Phone:816-352-2670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017033876225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist