Individual
MRS. CHRISTINA LYNN KULLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1149580
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056736
VALLEY HEALTH PLANS
TX
01
—
116296
CHIPS
TX
05
—
160360701
—
TX
01
—
177978600
ACS DEPT OF LABOR
TX
01
—
8T1216
BLUE CROSS BLUE SHIELD
TX
01
—
A005
TRICARE
TX
01
—
P00047981
MEDICARE RAILROAD
TX
Enumeration date
09/28/2006
Last updated
07/12/2016
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