| NPI | 1881827681 |
|---|---|
| Former Name | KRISTEN MIE KIMOTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60139732) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 8633) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2013-06-13 |