| NPI | 1922288729 |
|---|---|
| Former Name | KRISTIN MARIE THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 1103741) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2008013254) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2019-08-27 |