| NPI | 1265719348 |
|---|---|
| Former Name | KRISTIN MAE MISHRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20039) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT010482) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2021-04-13 |