Individual
KRISTAL LEE BLUNDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1515 LAKE HAVASU AVE N STE 100, LAKE HAVASU CITY, AZ 86404-1177
(928) 854-5439
Mailing address
3490 OVERLAND DR, LAKE HAVASU CITY, AZ 86404-2203
(928) 230-2715
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10274APTA
AZ
Other
Enumeration date
06/17/2013
Last updated
05/10/2023
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