Kristine Quaghebeur, PT
Individual provider Active NPI Physical Therapist · Uvalda, GA
NPI 1669717351 · NPPES record last updated Dec 6, 2012
Key facts
- NPI
- 1669717351
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT001731 (GA)
- Practice address
- 597 Old River Rd
Uvalda, GA 30473-4138 - Phone
- (706) 410-5056
- NPI assigned
- Dec 6, 2012
- 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 |
|---|---|---|---|
| PT001731 | GA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT001731 | GA | Yes |
Addresses
Primary practice location
597 Old River Rd
Uvalda, GA 30473-4138
Mailing address
597 Old River Rd
Uvalda, GA 30473-4138
Other providers in Uvalda, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2012. 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.