Provider Demographics
NPI:1174617641
Name:KROON, PIERRE AUGUSTINUS (PT)
Entity type:Individual
Prefix:DR
First Name:PIERRE
Middle Name:AUGUSTINUS
Last Name:KROON
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7407 PANTHERPAW ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-7874
Mailing Address - Country:US
Mailing Address - Phone:512-422-4258
Mailing Address - Fax:
Practice Address - Street 1:4201 MARATHON BLVD STE 204
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78756-3409
Practice Address - Country:US
Practice Address - Phone:512-358-1400
Practice Address - Fax:737-300-2519
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1053296225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist