| NPI | 1669985677 |
|---|---|
| Former Name | KRISTIN MICHELLE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60799002) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 022815) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2018-06-29 |