| NPI | 1780715599 |
|---|---|
| Former Name | KRISTEN LEIGH ZAISER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 0700220635) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IL 096001757) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2022-07-21 |