Provider Demographics
NPI:1912714130
Name:KREUTNER, KRISTINE (OTR/L)
Entity type:Individual
Prefix:
First Name:KRISTINE
Middle Name:
Last Name:KREUTNER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:KRISTINE
Other - Middle Name:
Other - Last Name:KNEPPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:469 BRYN DR
Mailing Address - Street 2:
Mailing Address - City:PEOSTA
Mailing Address - State:IA
Mailing Address - Zip Code:52068-9104
Mailing Address - Country:US
Mailing Address - Phone:563-451-3378
Mailing Address - Fax:
Practice Address - Street 1:3131 HILLCREST RD
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-3908
Practice Address - Country:US
Practice Address - Phone:563-588-1413
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-11
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA01277225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation