Kyiesha Aristile, DPT

Individual provider Active NPI Physical Therapist · Sanford, FL

NPI 1245512920 · NPPES record last updated Sep 19, 2011

Key facts

NPI
1245512920
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT24758 (FL)
Practice address
5433 W State Road 46
Sanford, FL 32771-9236
Phone
(800) 736-0761
Fax
(610) 347-6438
NPI assigned
Sep 19, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PT24758FLMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT24758 FL Yes

Addresses

Primary practice location

5433 W State Road 46
Sanford, FL 32771-9236

Mailing address

5433 W State Road 46
Sanford, FL 32771-9236

Other providers in Sanford, FL

All providers in Sanford, FL · Physical Therapist in Florida

Sources for this page

Verify at the official NPI Registry.