Search › California › 101YA0400X
Phillip Krulisky, RADT
NPI 1073214532 · on the registry since 2023
Practice
- Address
- 159 Brentwood Dr
Grass Valley, CA 95945 - Phone
- (530) 878-5166
- Organisation at this address
- Granite Wellness Centers
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 60
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California