NPI | 1851761191 |
---|---|
Former Name | KRISTIN NICOLE BUESING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0010886) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2015033669) |
225100000X Physical Therapist (Licence: KS 1105234) | |
Enumeration Date | 2015-09-29 |
Last Update Date | 2023-12-08 |