IndividualActive
Anthony Kroll, CPT, LMT, ERS
NPI 1801084140 · Rehabilitation Practitioner · White Bear Lake, MN
Provider details
- NPI number
- 1801084140
- Entity type
- Individual
- Primary specialty
- Rehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CPT, LMT, ERS
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Massage Therapist225700000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3609 White Bear Ave N
Suite #202
White Bear Lake, MN 55110-4466
Phone: (651) 246-3873
Approximate (ZIP-level) locationGet directions
Mailing address
3609 White Bear Ave N
White Bear Lake, MN 55110-4466
Registry dates
- Enumerated
- 2007-10-11
- Last updated
- 2008-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.