| NPI | 1235479361 |
|---|---|
| Former Name | KRISTEN MICHELLE THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT004469) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 5004) |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2020-08-10 |