Kristen Sitzes
Individual provider Active NPI Physical Therapist · Malden, MO
NPI 1104936871 · NPPES record last updated Feb 27, 2015
Key facts
- NPI
- 1104936871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 906 N Douglass St
Malden, MO 63863-1514 - Phone
- (573) 276-5860
- NPI assigned
- Aug 30, 2006
- 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)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
906 N Douglass St
Malden, MO 63863-1514
Mailing address
16022 County Road 612
Dexter, MO 63841-9501
Phone (573) 614-0912
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2004033971 | Other | MO | LICENSE# |
Other providers in Malden, MO
- Sage Creek Home Care LLC
- Sage Creek LLC
- Sarah Leann Seal
- Semo Regional Home Care, LLC
- Sherrods Foster Home and Isl
- Stephen A Smith
- Roselle Ycu Solijon
- Southeast Health Center of Stoddard County, LLC
- Southeast Missouri Health Network
- Jennetta Sue Stearns
All providers in Malden, MO · Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2015. 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.