Kristin Girrens

Individual provider Active NPI Physical Therapy Assistant · Tonganoxie, KS

NPI 1588075808 · NPPES record last updated Jan 11, 2020

Key facts

NPI
1588075808
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
14-02833 (KS)
Practice address
1010 East St
Tonganoxie, KS 66086-9557
Phone
(913) 369-8705
NPI assigned
May 9, 2014
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
14-02833KSMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 14-02833 KS Yes

Addresses

Primary practice location

1010 East St
Tonganoxie, KS 66086-9557

Mailing address

1013 E New London Dr
Olathe, KS 66061-6748

Other practice location 1

211 S Rock Creek Rd
Jefferson City, MO 65101-9412
Phone (573) 291-4263

Other providers in Tonganoxie, KS

All providers in Tonganoxie, KS · Physical Therapy Assistant in Kansas

Sources for this page

Verify at the official NPI Registry.