Individual
KRISTEN KELLI WALDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-3124
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11618
AZ
225100000X
Physical Therapist
12717
WI
2251S0007X
Sports Physical Therapist
11618
AZ
Other
Enumeration date
05/28/2014
Last updated
09/06/2023
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