Provider Demographics
NPI:1730337734
Name:KROOK, HOLLY E (ND)
Entity type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:E
Last Name:KROOK
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7802 BIG SKY DR
Mailing Address - Street 2:#116
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53719-4933
Mailing Address - Country:US
Mailing Address - Phone:608-334-8122
Mailing Address - Fax:
Practice Address - Street 1:7802 BIG SKY DR
Practice Address - Street 2:#116
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-4933
Practice Address - Country:US
Practice Address - Phone:608-334-8122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT63175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath