| NPI | 1336741958 |
|---|---|
| Former Name | KIRSTEN KRULL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT-4983) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-06237) |
| 225100000X Physical Therapist (Licence: MO 2019042377) | |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2020-11-09 |