| NPI | 1821505561 |
|---|---|
| Former Name | KRISTI L SHIPMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 14-01250) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2073505) |
| 225200000X Physical Therapy Assistant (Licence: IA 001414) | |
| 225200000X Physical Therapy Assistant (Licence: MO 2001017399) | |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2022-07-21 |