Most Relevant Information
Provider Data
| NPI Number: | 1003593112 |
| Provider Name: | JOHN TRAVIS KRAYENHAGEN OTR |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 8316-26 |
Most Important Dates
| Enumeration Date: | 06/29/2023 |
| Last Updated: | 06/29/2023 |
Provider Practice Location
1635 N WATER ST APT 312
MILWAUKEE
WI
532023623
Practice Location Phone/Fax
| Phone: | 5636502889 |
| Fax: |
Provider Mailing Location
1635 N WATER ST APT 312
MILWAUKEE
WI
532023623
Provider Mailing Phone/Fax
| Phone: | 5636502889 |
| Fax: |