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Individual

RICK KRISTOFFERSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1061 E 151ST ST, OLATHE, KS 66062-3417
(913) 829-3133
(913) 829-6011
Mailing address
1061 E 151ST ST, OLATHE, KS 66062-3417
(913) 829-3133
(913) 829-6011

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-00986
KS
2251X0800X
Orthopedic Physical Therapist
Primary
11-00986
KS

Other

Enumeration date
02/06/2018
Last updated
03/23/2022
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