Individual
KRISTIE LEIGH ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
345 HEALTHWEST DR, DOTHAN, AL 36303-2053
(334) 836-4523
(334) 673-0599
Mailing address
PO BOX 729, DOTHAN, AL 36302-0729
(334) 793-2663
(334) 836-2247
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH2571
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121685
—
AL
01
—
511-09121
BCBS OF ALABAMA
AL
Enumeration date
09/27/2005
Last updated
11/20/2014
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