Provider Demographics
NPI:1871060616
Name:KRONENBERGER, ANDREW THOMAS (DPT)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:THOMAS
Last Name:KRONENBERGER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:491 MORSE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-1832
Mailing Address - Country:US
Mailing Address - Phone:330-635-6008
Mailing Address - Fax:
Practice Address - Street 1:8849 WHITNEY DR
Practice Address - Street 2:
Practice Address - City:LEWIS CENTER
Practice Address - State:OH
Practice Address - Zip Code:43035-7107
Practice Address - Country:US
Practice Address - Phone:740-549-7041
Practice Address - Fax:740-549-7045
Is Sole Proprietor?:No
Enumeration Date:2018-10-30
Last Update Date:2020-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0175202251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic