Kristie L Hager, CPTA
Individual provider Active NPI Physical Therapy Assistant · Fort Leavenworth, KS
NPI 1003892258 · NPPES record last updated Sep 21, 2023
Key facts
- NPI
- 1003892258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 14-00966 (KS)
- Practice address
- 505 Pope Ave
Munson Army Health Center Attn: MXCN-Cod, Ms. Cotton
Fort Leavenworth, KS 66027-2333 - Phone
- (913) 684-6562
- Fax
- (913) 684-6208
- NPI assigned
- Dec 20, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-00966 | KS | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 14-00966 | KS | Yes |
Addresses
Primary practice location
505 Pope Ave
Munson Army Health Center Attn: MXCN-Cod, Ms. Cotton
Fort Leavenworth, KS 66027-2333
Mailing address
505 Pope Ave
Munson Army Health Center Attn: MXCN-Cod, Ms. Cotton
Fort Leavenworth, KS 66027-2333
Phone (913) 684-6562
Other providers in Fort Leavenworth, KS
- Jerry Lee Green Jr.
- Maria Grisel Gregory
- Kristie Michelle Grenier
- Veronica A. Griffith
- Shari Angelique Guinn
- Daniel M. Hale
- Rachel Elena Haley
- Leonard L Hall
- Gregory Hare
- Lisa M Harmon
All providers in Fort Leavenworth, KS · Physical Therapy Assistant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.