David Kroll, MA.ED., ATC/L

Specialist · Superior, WI

Individual Active NPI

NPI number 1558769125

Practice location

Balknap & Catlin Aves.
Superior, WI 54880
Phone
(715) 394-8144
Fax
(715) 395-4643

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NPI record

NPI
1558769125
Entity type
Individual (Type 1)
Enumeration date
December 15, 2014
Last updated
December 15, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X 486-39 WI

Mailing address

1628 Lamborn Ave
Superior, WI 54880-2824
Phone
(715) 919-1816
Fax
(715) 395-4636

About David Kroll

David Kroll, MA.ED., ATC/L is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is Balknap & Catlin Aves., Superior, WI 54880. The NPI number 1558769125 was assigned on December 15, 2014 and the record was last updated on December 15, 2014.

David Kroll lists a license in the registry: #486-39 (WI) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of David Kroll, MA.ED., ATC/L?

The NPI number is 1558769125.

What is the phone number of David Kroll?

The phone number listed for the practice location is (715) 394-8144.

Where is David Kroll located?

Balknap & Catlin Aves., Superior, WI 54880.

What is the taxonomy code for David Kroll?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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