| NPI | 1679855522 |
|---|---|
| Former Name | KRISTI LEE HENRICKSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 6345) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1179580) |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2025-10-14 |