| NPI | 1225347032 |
|---|---|
| Former Name | KRISTIN RENNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 007935) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305206647) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2021-12-17 |