| NPI | 1447980818 |
|---|---|
| Former Name | KRISTIN ALEXIS BUTCHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 6137) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2024-08-12 |