| NPI | 1619359643 |
|---|---|
| Former Name | KRISTEN CARNAHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60293944) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 12984) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2019-12-13 |