| NPI | 1548740285 |
|---|---|
| Former Name | KRISTIN MCREYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1306278) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: WA CP019042T) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2023-08-23 |