Individual
KRISTAN LEAR-MARIE GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
9239 W MEADOWBROOK AVE, PHOENIX, AZ 85037-2442
(505) 452-7273
Mailing address
9239 W MEADOWBROOK AVE, PHOENIX, AZ 85037-2442
(505) 452-7273
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NM
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
02/04/2019
Last updated
11/06/2025
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