Individual
KATELYN A CRIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
993 MASON HEADLEY RD, LEXINGTON, KY 40504-2246
(859) 554-8185
Mailing address
4115 E MORELAND ST APT 1, PHOENIX, AZ 85008-5565
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007156
KY
261QP2000X
Physical Therapy Clinic/Center
13381
AZ
Other
Enumeration date
10/25/2017
Last updated
04/13/2021
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